[Acute hepatic porphyria as diagnostic problem in childhood (author's transl)]. / Die akute intermittierende hepatische Porphyrie als diagnostisches Problem im Kindesalter

Case report of a 12 year old girl with acute hepatic porphyria. The difficulties of diagnosis in childhood are discussed. No effective treatment is known. The importance of early diagnosis is emphasized, in order to avoid certain medicaments, stress situations etc., which can cause an acute attack of porphyria.

[Aerophagia - case history and differential diagnosis (author's transl)]. / Aerophagie. Fallbericht und Differentialdiagnose

Meteorism is a nonspecific symptom and it is difficult to exclude organic causes. In one of our patients, a 6 years old girl, the accumulation of gas had caused changes of the normal abdominal situs. Finally psychogenic aerophagia could be detected by exact analysis of the case history and the daily rhythm of meteorism. The situation within the family could be revealed as trigger mechanism and there an successful therapy was started.