Abstract
A 28-year-old female patient followed-up for AIP for 6 years, had experienced 17 porphyria attacks due to frequent urinary tract infections and inapropriate use of drugs. The severity of attacks varied widely from abdominal pain to cardiopulmonary arrest, and the patient had had neurological deficit of upper and lower extremities for the last 2 years. The patient was on atenolol 100mg 2x1/day and amlodipin 10mg 1x1/day treatment for hypertension and biochemical analysis revealed a serum kreatinin level of 1,1mg/dl, urea of 34mg/dl, blood urea nitrogen of 18 mg/dl. The patient had complaints of nocturia and decreased urination. Due to frequent urinary infections, a urinary cathether could not be inserted and GFR was measured by 99mTc DTPA renal scintigraphy. GFR was calculated to be 28,3 for the left kidney, 26,0ml/min for the right kidney and a total of 54,4 ml/min. No complication that could trigger a porphyria attack was encountered following renal scintigraphy.
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