Hannoud S, Senouci K, Sbai M, Benzekri L, Hassam B, Balafrej L, Ouzeddoune N, Heid E. Porphyrie cutanée tardive chez un hémodialysé ayant une hépatite virale C : efficacité du traitement par petites phlébotomies.
Rev Med Interne 2004;
25:306-9. [PMID:
15050799 DOI:
10.1016/j.revmed.2004.01.006]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2003] [Accepted: 01/12/2004] [Indexed: 11/18/2022]
Abstract
INTRODUCTION
Porphyria cutanea tarda (PCT) is a disorder of heme biosynthesis resulting from deficiency in the enzyme uroporphyrinogen decarboxylase. In the sporadic form of PCT, there are many agents that trigger the clinical manifestations.
EXEGESIS
We report a case of PCT in an hemodialysed patient with hepatitis C virus infection (HVC). He was treated with small repeated phlebotomies of 50 ml every week with photoprotection, eviction of traumatismes and inducing drugs. A clinical remission was induced after five months of treatment.
CONCLUSION
A proper diagnosis of PCT in non uremic hemodialysed patients requires fractionation of serum and fecal porphyrin changes. Management of this patients is difficult. Small repeated phlebotomies (50-100 ml) could be an interesting therapy.
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