Acute variegate porphyria following a Scarsdale Gourmet Diet

J Am Acad Dermatol. 1983 Jan;8(1):46-9. doi: 10.1016/s0190-9622(83)70006-x.


Symptoms of porphyria developed in a 34-year-old woman following 3 weeks of a low carbohydrate diet. Reversal of a comatose state was obtained following multiple infusions of hematin. The diagnosis of variegate porphyria was made from the pattern of quantitative urine and stool porphyrins and a plasma fluorescence that was maximal at 626 nm. This fluorescence wavelength maxima also was found in the plasma of two family members screened for latent porphyria.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Coma / etiology
  • Diet, Reducing / adverse effects*
  • Female
  • Heme / analogs & derivatives*
  • Heme / metabolism
  • Hemin / administration & dosage*
  • Hemin / metabolism
  • Humans
  • Infusions, Parenteral
  • Porphyrias / complications
  • Porphyrias / drug therapy
  • Porphyrias / etiology*


  • Heme
  • Hemin