Timely and precise diagnosis, coupled with prompt initiation of treatment and meticulous identification and avoidance of triggers, are pivotal in the effective management of Acute Intermittent Porphyria (AIP). Failure to promptly intervene or inadequate intervention may result in enduring neurological damage. In the case at hand, the patient presented with intermittent chest tightness, tachycardia, and tea-colored urine, indicative of ongoing acute AIP episodes during the recovery phase. Following administration of hemin and high-carbohydrate therapy, a notable amelioration of symptoms was observed without any subsequent exacerbations.
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