Early and accurate diagnosis, along with prompt initiation of treatment and careful identification and avoidance of triggers, play a crucial role in effectively managing Acute Intermittent Porphyria (AIP). Delay or inadequate intervention may lead to persistent neurological damage. In the present case, the patient exhibited intermittent chest tightness, tachycardia, and tea-colored urine, suggesting the presence of ongoing acute AIP episodes during the recovery phase. Subsequent administration of hemin and high-carbohydrate therapy resulted in symptomatic improvement without any subsequent exacerbations.
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