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A Comprehensive Rehabilitation Program and Follow-up Assessment for Acute Intermittent Porphyria

Bonnefoy Mirralles, Anne-Marie OT; Torres-Castro, Rodrigo PT, MSc; Ovalle Guzman, Constanza MD

American Journal of Physical Medicine & Rehabilitation: May 2017 - Volume 96 - Issue 5 - p e85–e88
doi: 10.1097/PHM.0000000000000590
Case Reports

Abstract: Acute intermittent porphyria (AIP) is an infrequent metabolic disease that can cause severe disability or death without timely treatment. A porphyric attack occurs when genetic factors combine with trigger factors, and diagnosis may be delayed owing to nonspecific symptoms. Recovery from AIP can be nearly or fully complete with proper treatment, which includes intravenous hematin administration, the control of trigger factors, and a comprehensive rehabilitation program. The aim of this case report was to describe the clinical evolution of a 43-year-old woman with AIP and a polyneuropathy. The patient was treated through a comprehensive rehabilitation program, with outcomes evaluated by the Functional Independence Measure and the Berg scales during rehabilitation and postdischarge follow-up. After completing the comprehensive rehabilitation program, the patient achieved a satisfactory level of functional independence, allowing for social and work reintegration. We conclude that an early and multidisciplinary approach is essential for regaining optimal functionality after AIP.

From the Rehabilitation Unit, Clínica Los Coihues, Santiago, Chile (ABM, RT-C, COG); Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile (RT-C); and Center of Integrated Studies of Neurorehabilitation, Clínica Los Coihues, Santiago, Chile (RT-C).

All correspondence and requests for reprints should be addressed to: Anne-Marie Bonnefoy Mirralles, OT, Clínica Los Coihues, Laguna Sur 6561, Estación Central, Santiago, Chile.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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