Manipal Journal of Medical Sciences


A 56-year-old, previously healthy woman with a family history of acute intermittent porphyria (AIP) presenting with altered mental status, severe abdominal pain and falls; who later developed seizures and new delusions involving missing organs. Due to the nonspecific clinical presentation of AIP and low availability of diagnostic tools, the diagnosis was delayed resulting in treatment delay. This case report hopes to raise AIP awareness among clinicians, so better care can be delivered