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The Porphyria, Plumbism, Pottery Puzzle
Thomas D. Bird, MD;
Lt Col Donald M. Wallace;
Robert F. Labbe, PhD
JAMA. 1982;247(6):813-814.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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THE FOLLOWING article describes the solution to a fascinating porphyria, plumbism, pottery puzzle.
Report of a Case
In July 1978, while in California, a 41-year-old woman noted the gradual onset of pain in both knees, spreading to her feet and lower back over a period of weeks. In November, episodic vomiting, decreased appetite, and abdominal cramps developed. These symptoms led to hospitalization in December 1978. Family history was positive for chronic constipation in her father. There was moderate abdominal distention and tenderness without rebound tenderness. Bowel sounds were present, vibratory sensation was decreased in both feet, and ankle reflexes were absent. X-ray films of the abdomen revealed dilated bowel. Upper and lower gastrointestinal tract series revealed normal findings. Spinal fluid protein and glucose levels and cell counts were normal. The patient's hematocrit reading was 31%; hemoglobin level, 10 g/dL; corrected reticulocyte count, 3.7%; mean corpuscular volume, 94 cu µm; mean
. . . [Full Text PDF of this Article]
Author Affiliations
USAF (ret)
From the Departments of Medicine (Dr Bird) and Laboratory Medicine (Dr Labbe), University of Washington School of Medicine, the University of Washington School of Public Health (Col Wallace), and the Veterans Administration Medical Center (Dr Bird), Seattle.
Footnotes
Reprint requests to the Department of Neurology, Veterans Administration Medical Center, 4435 Beacon Ave S, Seattle, WA 98108 (Dr Bird).
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