Porphyria cutanea tarda: An uncommon condition in a patient on chronic hemodialysis

Patients with chronic kidney disease can have many dermatological manifestations. One of the very rare conditions is porphyria cutanea tarda (PCT), which manifests with hyperpigmentation of skin and photosensitivity along with painful bullae in sun-exposed areas. It is due to deficiency of uroporphy...

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Main Authors: Yedabettu Janardhana Anupama, Yabagodu Ramavakoda Parameshwara
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:APIK Journal of Internal Medicine
Subjects:
Online Access:http://www.ajim.in/article.asp?issn=2666-1802;year=2023;volume=11;issue=1;spage=53;epage=55;aulast=Anupama
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author Yedabettu Janardhana Anupama
Yabagodu Ramavakoda Parameshwara
author_facet Yedabettu Janardhana Anupama
Yabagodu Ramavakoda Parameshwara
author_sort Yedabettu Janardhana Anupama
collection DOAJ
description Patients with chronic kidney disease can have many dermatological manifestations. One of the very rare conditions is porphyria cutanea tarda (PCT), which manifests with hyperpigmentation of skin and photosensitivity along with painful bullae in sun-exposed areas. It is due to deficiency of uroporphyrinogen III decarboxylase enzyme which takes part in heme synthesis. The deficiency could be genetic or sporadic. Iron therapy and hepatitis C infection are known to precipitate these lesions. We report a case of PCT in a woman undergoing chronic maintenance hemodialysis, review the literature, and discuss the problems with management specific to the dialysis population.
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spelling doaj.art-1210af1c6a944a8abdf47b1f061a07bb2023-02-16T12:03:51ZengWolters Kluwer Medknow PublicationsAPIK Journal of Internal Medicine2666-18022666-18102023-01-01111535510.4103/ajim.ajim_65_21Porphyria cutanea tarda: An uncommon condition in a patient on chronic hemodialysisYedabettu Janardhana AnupamaYabagodu Ramavakoda ParameshwaraPatients with chronic kidney disease can have many dermatological manifestations. One of the very rare conditions is porphyria cutanea tarda (PCT), which manifests with hyperpigmentation of skin and photosensitivity along with painful bullae in sun-exposed areas. It is due to deficiency of uroporphyrinogen III decarboxylase enzyme which takes part in heme synthesis. The deficiency could be genetic or sporadic. Iron therapy and hepatitis C infection are known to precipitate these lesions. We report a case of PCT in a woman undergoing chronic maintenance hemodialysis, review the literature, and discuss the problems with management specific to the dialysis population.http://www.ajim.in/article.asp?issn=2666-1802;year=2023;volume=11;issue=1;spage=53;epage=55;aulast=Anupamabullous lesiondermatological manifestationdialysishyperpigmentationiron therapyporphyria cutanea tarda
spellingShingle Yedabettu Janardhana Anupama
Yabagodu Ramavakoda Parameshwara
Porphyria cutanea tarda: An uncommon condition in a patient on chronic hemodialysis
APIK Journal of Internal Medicine
bullous lesion
dermatological manifestation
dialysis
hyperpigmentation
iron therapy
porphyria cutanea tarda
title Porphyria cutanea tarda: An uncommon condition in a patient on chronic hemodialysis
title_full Porphyria cutanea tarda: An uncommon condition in a patient on chronic hemodialysis
title_fullStr Porphyria cutanea tarda: An uncommon condition in a patient on chronic hemodialysis
title_full_unstemmed Porphyria cutanea tarda: An uncommon condition in a patient on chronic hemodialysis
title_short Porphyria cutanea tarda: An uncommon condition in a patient on chronic hemodialysis
title_sort porphyria cutanea tarda an uncommon condition in a patient on chronic hemodialysis
topic bullous lesion
dermatological manifestation
dialysis
hyperpigmentation
iron therapy
porphyria cutanea tarda
url http://www.ajim.in/article.asp?issn=2666-1802;year=2023;volume=11;issue=1;spage=53;epage=55;aulast=Anupama
work_keys_str_mv AT yedabettujanardhanaanupama porphyriacutaneatardaanuncommonconditioninapatientonchronichemodialysis
AT yabagoduramavakodaparameshwara porphyriacutaneatardaanuncommonconditioninapatientonchronichemodialysis