GEORGE L. CALVY; E. J. JARUSZEWSKI; H. H. CARROLL, F.A.C.P.
Porphyria presents a varied clinical picture of abdominovisceral, neurologic and cutaneous involvement in association with increased excretion of porphyrins in the urine and feces. The diagnosis is to be entertained whenever passage of dark, red or mahogany colored urine is cited in a history, especially with colicky abdominal pain and constipation, obscure neurologic changes, or photosensitivity of the skin. While the disease is generally considered to be rare in this country, Waldenström's2 family studies in Sweden indicate that it occurs not infrequently in that country, or at least to such an extent that individuals manifesting undue "nervousness" or hysterical behavior
CALVY GL, JARUSZEWSKI EJ, CARROLL HH. PORPHYRIA: CLINICAL OBSERVATIONS AND A FAMILY VIGNETTE1. Ann Intern Med. ;34:767–777. doi: 10.7326/0003-4819-34-3-767
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Published: Ann Intern Med. 1951;34(3):767-777.
Hospital Medicine, Prevention/Screening.
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