Evidence map›Paper›PMID 37065381›Full record

ReviewCureus2023

Acute Intermittent Porphyria's Symptoms and Management: A Narrative Review.

Esma Z Kizilaslan, Nitin M Ghadge, Andrea Martinez, Michelle Bass, Rahul Winayak, Midhun Mathew, Rutvi Amin, Muhammad Khan, Nadeem Kizilbash

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  3. Article
  4. Article
  5. Review
  6. A novelFrontiers in genetics · 2025
    Article
  7. Article
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  9. Review
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  11. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 7 countries.

Esma Z KizilaslanDepartment of Internal Medicine, Heinrich Heine University, Düsseldorf, DEU.
Nitin M GhadgeDepartment of Communicable Disease, New York State Department of Health, Albany, USA.
Andrea MartinezSchool of Medicine, Universidad Autónoma de Guadalajara, Zapopan, MEX.
Michelle BassSchool of Medicine, El Bosque University, Bogotá, COL.
Rahul WinayakDepartment of Surgery, Bristol Medical School, University of Bristol, Bristol, GBR.
Midhun MathewDepartment of Internal Medicine, Pennsylvania Hospital, Philadelphia, USA.
Rutvi AminDepartment of Health Sciences, Marie Curie Science Research Center, Greensboro, USA.
Muhammad KhanDepartment of Internal Medicine, Ayub Teaching Hospital, Abbottabad, PAK.
Nadeem KizilbashDepartment of Medical Laboratory Technology, Northern Border University, Arar, SAU.
Heinrich Heine University Düsseldorf · DEAyub Medical College · PKNew York State Department of Health · USUniversidad Autónoma de Guadalajara · MXUniversity of Bristol · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute intermittent porphyria (AIP) is an autosomal dominant disorder of heme biosynthesis in the liver that is caused by the accumulation of toxic heme metabolites aminolevulinic acid (ALA) and porphobilinogen (PBG) due to a deficiency in the enzyme hydroxymethylbilane synthase (HMBS). The prevalence of AIP is found to commonly affect females of reproductive age (ages 15-50) and people of Northern European descent. The clinical manifestations of AIP include acute and chronic symptoms that can be outlined into three phases: the prodromal phase, the visceral symptom phase, and the neurological phase. Major clinical symptoms involve severe abdominal pain, peripheral neuropathy, autonomic neuropathies, and psychiatric manifestations. Symptoms are often heterogeneous and vague, which can lead to life-threatening signs if not treated and managed appropriately. Whether treating AIP in its acute or chronic form, the cornerstone of treatment consists of the suppression of the production of ALA and PBG. The mainstay of managing acute attacks continues to comprise discontinuing porphyrogenic agents, adequate caloric support, heme treatment, and the treatment of symptoms. In recurrent attacks and chronic management, prevention is key with the consideration of liver transplantation and/or renal transplantation. In recent years, there has been great interest in emerging treatments that focus on a molecular level such as enzyme replacement therapy,

Indexed as

abdominal painacute intermittent porphyriaaminolevulinic acidhemeheminhydroxymethylbilane synthaseliverporphobilinogenporphyrias

Identifiers

PMID37065381
PMCPMC10096751
OpenAlexW4324061293

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.