RAPHAEL ZAHLER, M.D.
To the editor: In the January 1983 issue, Goldstein and Keiser (1) describe the intricate case of a 29-year-old woman whose many symptoms remained undiagnosed despite an extensive neuroendocrine work-up but who responded to opiate antagonists. Nowhere in the case report, however, is it mentioned whether the diagnosis of porphyria was considered in this patient with abdominal pain, skin changes, and psychosis. Could the authors shed some light on this matter?
ZAHLER R. A New Detail in a Complex Case. Ann Intern Med. ;98:674–675. doi: 10.7326/0003-4819-98-5-674_2
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Published: Ann Intern Med. 1983;98(5_Part_1):674-675.
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