The course of delta -aminolaevulinic acid dehydratase activity was studied
over the 23 years in erythrocytes of two male patients. The enzyme activity
was originally 1-2%, which then increased to similar to8% of normal levels
several years after clinical manifestation of the acute hepatic porphyria
syndrome. Urinary excretions of delta -aminolaevulinic acid and coproporphy
rin III were excessively increased in the two patients with compound-hetero
zygous delta -aminolaevulinic acid dehydratase deficiency porphyria.