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Reviews: Karl E. Anderson, Joseph R. Bloomer, Herbert L. Bonkovsky, James P. Kushner, Claus A. Pierach, Neville R. Pimstone, and Robert J. Desnick Recommendations for the Diagnosis and Treatment of the Acute Porphyrias Ann Intern Med 2005; 142: 439-450 [Abstract] [Full text] [PDF]

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Exacerbation of Acute intermittent porphyria by substance abuse

Ajit S Kashyap, Kuldip P Anand, Surekha Kashyap, and Abhijeet Anand   (14 April 2005)

Exacerbation of Acute intermittent porphyria by substance abuse 14 April 2005
Ajit S Kashyap, MD Department of Endocrinology,Command Hospital (Southern Command),Pune 411 040,India, Kuldip P Anand, Surekha Kashyap, and Abhijeet Anand Send rapid response to journal: Re: Exacerbation of Acute intermittent porphyria by substance abuse kashyapajits{at}hotmail.com Ajit S Kashyap, et al.	In their excellent review on porphyria Anderson et al (1) fail to mention substance abuse, particularly marijuana, ecstasy, amphetamines, and cocaine as an important precipitants of acute exacerbations of acute intermittent porphyria. (2,3) References 1. Anderson KE, Bloomer JR, Bonkovsky HL, et al. Recommendations for the diagnosis and treatment of the acute porphyries 2. Thadani H, Deacon A. Diagnosis and management of Porphyrias. BMJ 2000;320:1647-1651. 3 Lip GY, McColl KE, Goldberg A, Moore MR. Smoking and recurrent attacks of acute intermittent porphyria BMJ. 1991 Mar 2;302(6775):507. Conflict of Interest: None declared