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© 1989 British Society for Rheumatology

case-report

SYSTEMIC LUPUS ERYTHEMATOSUS AND ACUTE INTERMITTENT PORPHYRIA

S. A. ALLARD*, and J. T. SCOTT

Department of Medicine and Rheumatology, Charing Cross Hospital London W6

Correspondence to: Correspondence to Dr S. A. Allard.

A patient with systemic lupus erythematosus who subsequently developed attacks of acute intermittent porphyria is described. This case illustrates both the problems involved in the diagnosis and management of two disorders which share several clinical manifestations, and the influence of a connective tissue disease and its treatment on the expression of acute porphyria. The inter-relationship between these disorders and their possible association is discussed.

KEY WORDS: Systemic lupus erythematosus, Acute intermittent porphyria, Antinuclear antibodies

*Present address: Senior Registrar, Department of Rheumatology, St George's Hospital, Blackshaw Road, London SW17.


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