RESUMO
Objetivo: Reportar o quadro clínico de uma paciente internada no Hospital Regional de Sobradinho (HRS) com o diagnóstico de porfiria intermitente aguda.
Relato do caso: paciente feminina, 28 anos, com queixa de dor abdominal e sintomas neurológicos de início agudo, e exames laboratoriais evidenciando hiponatremia grave e transaminases hepáticas elevadas.
Conclusão: Na porfiria intermitente aguda, uma anamnese completa, associada a sinais, sintomas e exames laboratoriais, permitem diagnóstico e tratamento mais precoces, evitando assim a evolução para um prognóstico muitas vezes desastroso.
This report describes the case of a 63-year-old asymptomatic patient presenting findings compatible with partial subclavian steal syndrome on color Doppler ultrasound of the carotid and vertebral arteries. The ultrasonic analysis of the cervical vessels showed no apparent cause to justify the subclavian steal. Computed tomographic angiography of the thoracic aorta showed left subclavian artery kinking proximal to the origin of the vertebral artery, an extremely rare finding that led to the subclavian steal. The patient underwent conservative treatment.
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