The purpose of this study is to test whether a focused questionnaire and laboratory tests can better define risk factors associated with possible genetic porphyria. The investigators hypothesize that the genetic carrier state of acute porphyria is distinctive enough that the Genetic Carrier Profile the investigators devise through this study will be useful in identifying carriers of genetic porphyria among the large population with undiagnosed abdominal pain.
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Presence of positive biochemical features by first-line testing in subjects suspected of being a genetic carrier of acute porphyria
Timeframe: Assessed once at baseline visit for all subjects
Presence of positive biochemical features by second-line testing in subjects suspected of being a genetic carrier of acute porphyria
Timeframe: Assessed once at baseline visit for all subjects
Presence of positive biochemical features by second-line testing in subjects suspected of being a genetic carrier of acute porphyria
Timeframe: Assessed once at baseline visit for all subjects
Clinical features suggestive of the acute porphyria carrier state
Timeframe: Assessed once at baseline visit for all subjects
Acute porphyria genetic carrier state
Timeframe: Assessed once at baseline visit for all subjects
Other possible causes of mildly elevated porphyrins and recurrent pain
Timeframe: Assessed once during a one-time telephone or in-person interview
Presence of heavy metals
Timeframe: Assessed once at baseline visit for all subjects
Validity of Genetic Carrier Profile
Timeframe: The profile will be tested once during the baseline visit for subjects in Group 2.