Acute intermittent porphyria presenting with rhabdomyolysis and polyneuropathy with severe quadriparesis and respiratory failure: A case report

Table 1 Relevant biochemistry workup results obtained in the regional hospital and in the University Hospital Centre intensive care unit

Parameter	Reference range	Admission to the regional hospital	Day of diagnosis	Discharge	Two years after discharge
Sodium (mmol/L)	137-146	127	126	139	141
Urea (mmol/L)	2.8-8.3	23.6	14.4	9.5	11.9
Creatinine (µmol/L)	49-90	549	413	112	179
C-reactive protein (mg/L)	< 5	31.4	3.7	1.2	-
Creatine kinase (U/L)	0-153	> 10000	1169	107	241
Aspartate aminotransferase (U/L)	8-30	4021	136	-	28
Alanine aminotransferase (U/L)	10-36	782	271	-	25
Ferritin (µg/L)	15-200	222.6	-	-	477.7
δ-aminolevulinic acid in a random urine sample (mmol/mol creatinine)	< 2.5	-	17	2.8	5.7
Porphobilinogen in a random urine sample (mmol/mol creatinine)	< 1.25	-	26	13	20.9
Uroporphyrin in a random urine sample (mmol/mol creatinine)	< 3.9	-	1538	-	-