Timely diagnosis, prompt treatment, and avoidance of triggering factors are pivotal in the management of Acute Intermittent Porphyria (AIP). Failure to initiate timely and effective interventions may result in enduring neurological impairments. In this specific instance, the patient presented with intermittent chest tightness, tachycardia, and tea-colored urine, indicative of an ongoing acute AIP episode during the recovery phase. Following administration of heme arginate and high-carbohydrate therapy, the symptoms demonstrated improvement without subsequent exacerbations.
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