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Correspondence
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Volume 332:332-333 February 2, 1995 Number 5
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Clinical Problem-Solving: Still Hazy after All These Years

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 by Ben-Chetrit, E.
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To the Editor: In the medical conundrum presented by Ben-Chetrit and Putterman (Oct. 6 issue),1 despite a 21-year search for a diagnosis, the patient's illness remains hazy. The diagnosis is most obviously hereditary coproporphyria. The patient and her brother were both affected.

The patient had a 21-year history of recurrent abdominal pain, with neither clinical nor surgical peritonitis and in the absence of remarkable sequelae. There was evidence of autonomic disturbances: a rapid pulse, an episode of urinary retention, and decreased peristalsis with dilated loops on a plain film of the abdomen. There was also evidence of neuropsychiatric phenomena: anxiety, . . . [Full Text of this Article]

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