Congenital erythropoietic porphyria or Günther's disease along with a rare mandibular adenomatoid odontogenic tumor

Congenital erythropoietic porphyria (CEP), or “Günther disease,” is a rare variant of porphyria. It is an autosomal recessive disease caused by deficient uroporphyrinogen III synthase (URO-III-synthase), the fourth enzyme in the heme biosynthetic pathway. We report a case of a young female with the...

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Main Authors: Kaushal Mahendra Shah, Amol Karagir, Shridevi Adaki
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Journal of Indian Academy of Oral Medicine and Radiology
Subjects:
Online Access:http://www.jiaomr.in/article.asp?issn=0972-1363;year=2016;volume=28;issue=1;spage=34;epage=38;aulast=Shah
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author Kaushal Mahendra Shah
Amol Karagir
Shridevi Adaki
author_facet Kaushal Mahendra Shah
Amol Karagir
Shridevi Adaki
author_sort Kaushal Mahendra Shah
collection DOAJ
description Congenital erythropoietic porphyria (CEP), or “Günther disease,” is a rare variant of porphyria. It is an autosomal recessive disease caused by deficient uroporphyrinogen III synthase (URO-III-synthase), the fourth enzyme in the heme biosynthetic pathway. We report a case of a young female with the typical clinical presentations of cutaneous photosensitivity characterized by hyper- and hypo-pigmentations, blister formations and scarring of light-exposed skin, mutilation of the toe fingers, dark-purple urine and erythrodontia with pinkish fluorescence under a Wood's lamp. The diagnosis was confirmed by decreased activity of URO-III-synthase in red blood cells and a porphyrin profile compatible with CEP. Presence of adenomatoid odontogenic tumor associated with impacted mandibular right canine was also noted.
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spelling doaj.art-ef78e02287304a8a9c792f76adf348fe2022-12-22T01:27:25ZengWolters Kluwer Medknow PublicationsJournal of Indian Academy of Oral Medicine and Radiology0972-13630975-15722016-01-01281343810.4103/0972-1363.189977Congenital erythropoietic porphyria or Günther's disease along with a rare mandibular adenomatoid odontogenic tumorKaushal Mahendra ShahAmol KaragirShridevi AdakiCongenital erythropoietic porphyria (CEP), or “Günther disease,” is a rare variant of porphyria. It is an autosomal recessive disease caused by deficient uroporphyrinogen III synthase (URO-III-synthase), the fourth enzyme in the heme biosynthetic pathway. We report a case of a young female with the typical clinical presentations of cutaneous photosensitivity characterized by hyper- and hypo-pigmentations, blister formations and scarring of light-exposed skin, mutilation of the toe fingers, dark-purple urine and erythrodontia with pinkish fluorescence under a Wood's lamp. The diagnosis was confirmed by decreased activity of URO-III-synthase in red blood cells and a porphyrin profile compatible with CEP. Presence of adenomatoid odontogenic tumor associated with impacted mandibular right canine was also noted.http://www.jiaomr.in/article.asp?issn=0972-1363;year=2016;volume=28;issue=1;spage=34;epage=38;aulast=ShahAdenomatoid odontogenic tumorautosomal recessivecongenitalerythrodontiaporphyria
spellingShingle Kaushal Mahendra Shah
Amol Karagir
Shridevi Adaki
Congenital erythropoietic porphyria or Günther's disease along with a rare mandibular adenomatoid odontogenic tumor
Journal of Indian Academy of Oral Medicine and Radiology
Adenomatoid odontogenic tumor
autosomal recessive
congenital
erythrodontia
porphyria
title Congenital erythropoietic porphyria or Günther's disease along with a rare mandibular adenomatoid odontogenic tumor
title_full Congenital erythropoietic porphyria or Günther's disease along with a rare mandibular adenomatoid odontogenic tumor
title_fullStr Congenital erythropoietic porphyria or Günther's disease along with a rare mandibular adenomatoid odontogenic tumor
title_full_unstemmed Congenital erythropoietic porphyria or Günther's disease along with a rare mandibular adenomatoid odontogenic tumor
title_short Congenital erythropoietic porphyria or Günther's disease along with a rare mandibular adenomatoid odontogenic tumor
title_sort congenital erythropoietic porphyria or gunther s disease along with a rare mandibular adenomatoid odontogenic tumor
topic Adenomatoid odontogenic tumor
autosomal recessive
congenital
erythrodontia
porphyria
url http://www.jiaomr.in/article.asp?issn=0972-1363;year=2016;volume=28;issue=1;spage=34;epage=38;aulast=Shah
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AT amolkaragir congenitalerythropoieticporphyriaorgunthersdiseasealongwithararemandibularadenomatoidodontogenictumor
AT shrideviadaki congenitalerythropoieticporphyriaorgunthersdiseasealongwithararemandibularadenomatoidodontogenictumor