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coproporphyria |
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coproporphyria /cop·ro·por·phy·ria/ (-por-fir´e-ah) any of various types of porphyria characterized by elevated levels of coproporphyrin in the body. hereditary coproporphyria (HCP) a hepatic porphyria due to a defect in an enzyme involved in porphyrin synthesis, characterized by recurrent attacks of gastroenterologic and neurologic dysfunction, cutaneous photosensitivity, and excretion of coproporphyrin III in the feces and urine and of δ and porphobilinogen in urine.
coproporphyria [kop′rōpôrfir′ē·ə] Etymology: Gk, kopros + porphyros, purple a rare autosomal-dominant hereditary metabolic disorder in which large quantities of nitrogenous substances, called porphyrins, are excreted in the feces. Attacks, with varying GI and neurologic symptoms, may be precipitated by certain drugs, including barbiturates, sulfonamides, and steroids. Patients are often helped by a high-carbohydrate diet. Also called hereditary coproporphyria. See also acute intermittent porphyria, coproporphyrin, porphyria. coproporphyria (kop´rōpôr´fir´ē n the presence of an abnormal concentration of coproporphyrin in the urine. Normal values range from 70 mg to 250 mg/day. An increased amount of coproporphyrin III occurs in the urine in clinical lead poisoning, exposure to lead without clinically apparent symptoms, infections, malignant disease, alcoholic cirrhosis, after ingestion of small amounts of ethanol, and normally in some individuals. coproporphyria porphyria marked by excessive excretion of coproporphyrin, chiefly in the feces. coproporphyria An AD condition that primarily affects ♀, which is often latent until puberty Clinical2⁄3 of Pt are asymptomatic; Sx occur as acute attacks of photosensitivity or mental dysfunction,
precipitated by alcohol, barbiturates, diphenylhydantoin, estrogens, griseofulvin, mephenytoin, meprobamate, progestins, sulfonamides, valproic acid, and other drugs Lab ↑ coproporphyrin III in feces, accumulation in the liver; during attacks,
coproporphyrin, porphobilinogen, δ-aminolevulinic acid–ALA are ↑ in urine Management Morphine, phenothiazine, chlorpromazine; if no improvement in 24 hrs, IV ferric heme to suppress ALA synthase activity How to thank TFD for its existence? Tell a friend about us, add a link to this page, add the site to iGoogle, or visit webmaster's page for free fun content. |
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Systematic analysis of coproporphyrinogen oxidase gene defects in hereditary coproporphyria and mutation update. Studies of porphyrin synthesis in fibroblasts of patients with congenital erythropoietic porphyria and one patient with homozygous coproporphyria. |
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