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Porphyria Cutanea Tarda Simulating Dermatitis FactitiaReport of a Case
HAROLD O. PERRY, M.D.;
LOUIS A. BRUNSTING, M.D.
AMA Arch Derm. 1956;74(2):198-201.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Porphyria cutanea tarda is usually a benign disease of insidious onset in older patients and is associated with few or no systemic symptoms except a mild degree of hepatic insufficiency. In most patients signs of the disease are limited to the skin. In such cases porphobilinogen is absent, although large amounts of uroporphyrin and coproporphyrin are excreted in the urine and feces.
Occasionally instances occur in which features of classic porphyria of the intermittent type may be combined with porphyria cutanea tarda, the so-called mixed type. The disease is known to recur intermittently for years, with an unusual combination of symptoms which are likely to cause the patient to be labeled a neurotic by the succession of physicians in attendance.
The patient's complaints may be those of severe, recurring abdominal pains and colics. Thinking that such patients have a surgical condition of the abdomen, some surgeons
. . . [Full Text PDF of this Article]
Author Affiliations
Rochester, Minn.
Footnotes
Submitted for publication Aug. 17, 1955.
Section of Dermatology, Mayo Clinic and Mayo Foundation, Rochester, Minn. The Mayo Foundation is a part of the Graduate School of the University of Minnesota.
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