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Porphyria cutanea tarda: an under-recognised manifestation of haemochromatosis

Goh, Jing Wei
Ong, Cheng Ken
Abdullah, Khaled M
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Affiliation
Northern Care Alliance NHS Foundation Trust; University Hospitals Birmingham NHS Foundation Trust; University of California
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Publication date
2023-09-07
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Abstract
We present a case of a woman who presented with a photosensitive skin rash and blisters on her extremities which did not improve with steroids. These were associated with polyarthralgia and a deranged liver function test on her admission. Further workup revealed that the patient has an undiagnosed porphyria cutanea tarda (PCT) and hereditary haemochromatosis. The patient later underwent regular venesections which improved her condition. This case report not only illustrates the challenge in diagnosing PCT but also aims to highlight the association between PCT and hereditary haemochromatosis.
Citation
Goh JW, Ong CK, Abdullah KM. Porphyria cutanea tarda: an under-recognised manifestation of haemochromatosis. BMJ Case Rep. 2023 Sep 7;16(9):e253203. doi: 10.1136/bcr-2022-253203. PMID: 37678939; PMCID: PMC10496723.
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Report
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