RT Book, Section A1 Laliberte, Bryan A2 Freeman, Brian S. A2 Berger, Jeffrey S. SR Print(0) ID 1135741323 T1 Porphyria T2 Anesthesiology Core Review: Part Two Advanced Exam YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9781259641770 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1135741323 RD 2023/03/21 AB The porphyrias are a group of inherited disorders of hemoglobin biosynthesis, commonly classified according to the broad definitions of neuropsychiatric, dermatological (cutaneous), or mixed. Other classifications of the porphyrias are based on the deficient enzyme, the location of abnormal porphyrin production, or according to the risk of an acute attack (Table 101-1). There are eight susceptible enzymes in the biosynthetic pathway, each characterized by accumulation of porphyrins in body tissues as a result of overproduction or accumulation of porphyrin precursors (Figure 101-1). Abnormal porphyrin production is seen in either the hepatic or the erythropoietic system.