Article Text

Download PDFPDF

04193 The incidance of types of porphyria and their symptoms in Turkey
  1. Gülbüz Sezgin1,
  2. Yusuf Emirhan Erkan1,
  3. Hüseyin Şimşek1,
  4. Ecehan Uzun1,
  5. Çağdaş Kaya1,
  6. Ayli Heydari1,
  7. Gizem Tatar2
  1. 1Maltepe University Faculty of Medicine
  2. 2Malatya State Hospital

Abstract

Aim Porphyria is the accumulation of substrate in nervous system, gastrointestinal system, kidney, liver, and skin. It is a uncommon illness that is seen when there is absence or insufficient action of 8 enzymes in making heme molecule. The purpose of this research is to assess the types and symptoms incidence of porphyria patients in Turkey.

Method There are 139 patients who are followed by our hospital’s internal medicine department, and outpatients. Some patients are not diagnosed yet but they have family history and symptoms which cause to suspect about Porphyria. 103 of 139 patient’s type of Porphyria is known and genetic test is done to 61 of them. 53 patients are men and 86 are women. 139 patients average age is 35.4 and average body mass index is 22.6. Mutation seen in 81.9% patients who took genetic test. Obtained informations taken from our Hospital’s Pusula system and examined in SPSS.

Results There are 103 patients whose type of porphyria are known. It is seen that 64% of patients are AIP, 2.9% of patients are PCT, 4.8% of patients are CEP, 15.5% patients are HCP, 9.7% patients are VP. In our research, the most typical type of porphyria is determined as AIP with the percentage of 64. When we searched for the patients informations on the system Pusula, we found that 75% of patients have symptoms. Observed as most common symptoms are; 51.1% abdominal pain, 22.3% vomiting, 18% lethargy, 12.9% skin lesions, 12.2% constipation, 12.2% arthralgia, 12.2% lumbalgia, 10.8% emesis, 10.8% paresthesia and 9.4% diarrhea.

Conclusion Our research indicates that acute intermittent porphyria (AIP) is the most common type. Confirmed that abdominal pain is the most typical accompanying symptom of a prophyria patient. The most commonly seen symptoms of patients are not specific. Therefore the conclusion is, there should be more research done for the rare disease porphyria which can’t be noticed easily.

http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.