Porphyria Cutanea Tarda in a Patient With Agnogenic Myeloid Metaplasia

    April 1984 in “ Archives of Dermatology
    David Fivenson
    TLDR Porphyria cutanea tarda causes skin issues due to an enzyme deficiency.
    Porphyria cutanea tarda (PCT) is a syndrome marked by skin lesions in sun-exposed areas, characterized by increased fragility, vesicles, erosions, pigmentation changes, hypertrichosis, sclerodermoid changes with scarring alopecia, calcification, and milia. It results from a deficiency in uroporphyrinogen decarboxylase (URO-D), with two forms: an autosomal-dominant inherited form affecting both hepatocytes and RBCs, and a sporadic form affecting only hepatocytes. Symptoms typically appear after the fourth decade of life.
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