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On examination, MMSE was 23/30, MOCA was 20/30, with abnormalities in Trail A, Trail B, and Stroop test indicating executive dysfunction

DISCUSSION Porphyrias comprise a group of clinically heterogeneous metabolic disorders, mostly caused by inherited defects in enzymes involved in heme biosynthesis (14) and subsequent accumulation of biosynthetic intermediates, predominantly in the liver (hepatic porphyrias) or erythrocytes (erythropoietic porphyrias) (1, 4)

Most important effects can be categorized as antioxidant activity, wound healing, modulation of angiogenesis and inflammatory cytokines

Arthropathic presentation of Wilson's Disease

Machine learning models using these data sets show promise but still require validation in diverse cohorts