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Pathology
A 20-year-old woman complains of intermittent, colicky abdominal pain, fine tremors of her hands, excess sweating, and a general feeling of restlessness. Laboratory studies reveal an inherited defect in the biosynthesis of heme. This patient's genetic disease is most likely caused by deficiency of which of the following liver enzymes?
Alanine aminotransferase
Alkaline phosphatase
Porphobilinogen deaminase
Uridine diphosphate glucuronyl transferase
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