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2010, Number 4

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Rev Hematol Mex 2010; 11 (4)

Hereditary porphyrias: A prospective, 28-year, single institution experience

Sánchez-Anzaldo FJ, Fernández-Macouzet M, Garza-de-la-Peña E, Ruiz-Argüelles GJ
Full text How to cite this article

Language: English
References: 9
Page: 185-187
PDF size: 57.44 Kb.


Key words:

Porphyrias, Puebla, México.

ABSTRACT

Background: There is very little information about the hereditary porphyrias in México; only four papers by Mexican authors on the topic could be identified.
Objective: To analyze the 28-year experience in the diagnosis and classification of hereditary porphyrias in a single institution in México (Laboratorios Clínicos de Puebla).
Material and methods: Between October 1983 and September 2010, the diagnosis and classification of the hereditary porphyrias was done using the following assays: Blood porphobilinogen deaminase, urine delta aminolevulinic acid, blood delta aminolevulinic dehydratase, urine porphobilinogen, urine uroporphyrins, urine coproporphyrins, fecal porphyrins and red blood cell free protoporphyrins.
Results: One hundred and forty seven cases of hereditary porphyrias were identified and classified:
n %
Acute intermitent porphyria 59 40
Variegate porphyria 36 25
Erythropoietic porphyria 22 15
Coproporphyria 17 12
Porphyria cutanea tarda 8 5
Protoporphyria
Conclusions: This is the largest series of patients with porphyria described in México; the distribution of the variants is not different of that informed from other places in the world.


REFERENCES

  1. Puy H, Gouva L, Deybach JC. Porphyrias. Lancet 2010;375(9718):924-937.

  2. Sánchez-Anzaldo FJ, Ruiz-Argüelles GJ, Ortiz López R. Erythropoietic protoporphyria. Description of the first case identified in Mexico. Sangre (Barc). 1987;32(2):236-242.

  3. Vázquez-Prado J, Sánchez-Anzaldo FJ, Ruiz-Argüelles GJ, Marín-López E, Lobato-Mendizábal E. A modified spectrophotometric assay for porphobilinogen deaminase: its application in the detection of both carriers and patients with acute intermittent porphyria. J Inherit Metab Dis. 1995;18(1):66-71.

  4. Jara-Prado A, Yescas P, Sánchez FJ, Ríos C, Garnica R, Alonso E. Prevalence of acute intermittent porphyria in a Mexican psychiatric population. Arch Med Res. 2000;31(4):404-8.

  5. Talman EL. Standard methods of clinical chemistry. Maryland: Academic Press, 1958; pp: 137-146.

  6. David Glick [editor]. Methods of biochemical analysis, volume

  7. New York: Interscience Publishers, 1960; pp: 221-293.

  8. Tietz NW. Química clínica moderna. 1.a ed. Ciudad de México: Editorial Interamericana, 1972; pp: 137-146.

  9. Bauer JD, Ackerman PG, Toro G. Bray’s clinical laboratory methods. St. Luois: Mosby Company, 1968; pp: 41-45.




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Rev Hematol Mex. 2010;11