case_images: PMC11775956_01
case_images: Magnetic resonance images of brain from initial presentation to the hospital. (left) Axial T1 post-contrast, (center) axial T2 weighted, and (right) axial Flair post-contrast. Images demonstrate Flair/T2 signal hyperintensity (yellow arrows) involving the cortex and subcortical white matter with patchy post-contrast enhancement (red arrows) involving the frontal, parietal, and occipital lobes in a watershed pattern (occipital lobe involvement not pictured here).
case_images: 10.1177_2050313X241298532-fig1.jpg
case_images: PMC11775956_01_10.1177_2050313X241298532-fig1.jpg
case_images: fig1-2050313X241298532
case_images: Posthemin imaging showed evolving brain parenchymal signal abnormality with more confluent predominantly subcortical white matter involvement, microhemorrhage, and few small areas of diffusion signal abnormality (Supplemental Figure S1).
case_images: Image depicting the dark red-colored urine sample collected from patient. Urine tested positive for porphyrins.
case_images: 10.1177_2050313X241298532-fig2.jpg
case_images: PMC11775956_01_10.1177_2050313X241298532-fig2.jpg
case_images: fig2-2050313X241298532
case_images: On day 5 of her hospitalization during her evaluation for persistent hypertension, she was noted to have a dark red-colored urine (Figure 2).