Figure 36. Case study
One of the
patients in the case study was 39-years-old male who diagnosed with Acute
Intermittent Porphyria (AIP) in 1998. This patient reported that he suffered
from abdominal pain and constipation. More importantly, he also took many
examinations from doctors to diagnose the disease or disorders was, however the
results were normal. At the end of the test result, his spot urine sample also
used to diagnose, ALA, PBG and Proto-PBG was positive. This is because his family members were diagnosed and suffered from AIP. In other
words, it was medical history of AIP had found among his family. Besides that,
patient received two types of treatments after he had diagnosed with AIP. The
first type of treatment was he administered the glucose orally and had been monitored
within three days. Unfortunately, he suffered the acute attack of AIP after he
recovered. Due to the glucose did not function during his fasting for Ramadhan.
Therefore, heme treatment had been replaced from glucose administration as
treatment of AIP. He had completely recovered from AIP within two days after
received intravenous heme (injection into the bloodstream). After the recovered
from AIP, he became more careful in his lifestyle, such as prescribed the drug
carefully.
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