Dermatologica Sinica (Jun 2012)

Congenital erythropoietic porphyria

  • Wen-Hao Lee,
  • Wei-Chun Tai,
  • Po-Yuan Wu

DOI
https://doi.org/10.1016/j.dsi.2011.09.012
Journal volume & issue
Vol. 30, no. 2
pp. 62 – 65

Abstract

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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 herein report a case of a man with the typical clinical presentations of hyper- and hypo-pigmentation and blister formation over sun-exposed areas, mutilation of the 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 (RBC) and a porphyrin profile compatible with CEP.

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