A 16-year-old man presents with acute central abdominal pain and - TopicsExpress

A 16-year-old man presents with acute central abdominal pain and vomiting. On examination, his abdomen was tender but there was no guarding, and bowel sounds were normal. Power was reduced distally in his lower limbs and ankle and knee reflexes were absent. An older sister presented with a similar condition. Blood tests showed: Hb 11 g/dl; Mean corpuscular volume (MCV) 72 fl ; Platelets 170; Blood film Basophilic stippling; Urinary d- ALA (delta-aminolevulinic acid) 100 mmol/24 hrs (normal range 8-53). What is the most likely diagnosis? Arsenic poisoning Lead poisoning Acute intermittent porphyria (AIP) Guillain-Barré syndrome (GBS) Diabetic ketoacidosis (DKA)

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