Acute Intermittent Porphyria Triggered by <scp>COVID</scp> ‐19 Mimicking Guillain–Barré Syndrome: A Diagnostic Challenge

variant (c.580C> T), confirming AIP. COVID-19 may unmask AIP and mimic a GBS-like neuropathy, increasing the risk of delayed recognition and suboptimal management. In patients with COVID-19-associated acute neuropathy-particularly when accompanied by abdominal pain, seizures, or neuropsychiatric features-clinicians should include AIP in the differential diagnosis and pursue prompt biochemical evaluation (urine PBG and ALA) to facilitate early targeted therapy and prevent complications.

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Publication Details

Journal
Clinical Case Reports
Published
2026-05-01
DOI
https://doi.org/10.1002/ccr3.72417
Primary Topic
Porphyrin Metabolism and Disorders
Type
article
Field-Weighted Citation Impact
0.00
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article

Acute Intermittent Porphyria Triggered by COVID ‐19 Mimicking Guillain–Barré Syndrome: A Diagnostic Challenge

Morteza Heidari, Hosein Alimadadi, Payman Sadeghi, Seyed Abbas Hassani et al.
Clinical Case Reports
Porphyrin Metabolism and Disorders
article

Acute Intermittent Porphyria Triggered by COVID ‐19 Mimicking Guillain–Barré Syndrome: A Diagnostic Challenge

Morteza Heidari, Hosein Alimadadi, Payman Sadeghi, Seyed Abbas Hassani, Masood Ghahvechi Akbari, Vahid Ziaee
article en

Abstract

variant (c.580C> T), confirming AIP. COVID-19 may unmask AIP and mimic a GBS-like neuropathy, increasing the risk of delayed recognition and suboptimal management. In patients with COVID-19-associated acute neuropathy-particularly when accompanied by abdominal pain, seizures, or neuropsychiatric features-clinicians should include AIP in the differential diagnosis and pursue prompt biochemical evaluation (urine PBG and ALA) to facilitate early targeted therapy and prevent complications.

Clinical Case ReportsVol. 14(5)
Children's Medical Center (IR), Tehran University of Medical Sciences (IR)
Good health and well-being
Openalex Percentile: Top 9%
Porphyrin Metabolism and Disorders
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Acute Intermittent Porphyria Triggered by <scp>COVID</scp> ‐19 Mimicking Guillain–Barré Syndrome: A Diagnostic Challenge — Morteza Heidari, Hosein Alimadadi, et al. · Clinical Case Reports (2026) | TGRS Research Map | TGRS