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Porphyria cutanea tarda in a human immunodeficiency virus-infected patient: A rare scenario in India.

Bhat RM, Pinto M, Dandakeri S, Kambil SM - Indian J Sex Transm Dis (2014)

Bottom Line: Woods lamp examination of the urine, histopathology and urinary porphyrin levels were suggestive of porphyria cutanea tarda (PCT).The patient responded well to hydroxychloroquine and antiretroviral drugs.This case report calls for a detailed evaluation and HIV testing in every patient with PCT.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Venereology and Leprosy, Father Muller Medical College, Mangalore, Karnataka, India.

ABSTRACT
A 30-year-old unmarried, heterosexual male presented with an 8-month history of tense blistering skin lesions over the hands. Physical examination revealed facial hypertrichosis and multiple erosions with crusts and scars over the dorsum of both hands. Woods lamp examination of the urine, histopathology and urinary porphyrin levels were suggestive of porphyria cutanea tarda (PCT). The patient responded well to hydroxychloroquine and antiretroviral drugs. This case report calls for a detailed evaluation and HIV testing in every patient with PCT.

No MeSH data available.


Related in: MedlinePlus

Clinical photograph showing multiple erosions with crusts and scars over the dorsum of both hands
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Figure 1: Clinical photograph showing multiple erosions with crusts and scars over the dorsum of both hands

Mentions: A 30-year-old unmarried male presented with an 8-month history of tense fluid-filled lesions over the back of both hands leaving behind erosions and scars. There was history of photosensitivity, weight loss and high-risk behavior over the past 1 year. He reported moderate alcohol intake in the past, but denied drinking during the previous 1 year. There was no history suggestive of liver disease or of having similar complaints in the family. Physical examination revealed multiple erosions with crusts, scars over the dorsum of both hands [Figure 1] and face. Minimal hypertrichosis of the face was present [Figure 2].


Porphyria cutanea tarda in a human immunodeficiency virus-infected patient: A rare scenario in India.

Bhat RM, Pinto M, Dandakeri S, Kambil SM - Indian J Sex Transm Dis (2014)

Clinical photograph showing multiple erosions with crusts and scars over the dorsum of both hands
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4066599&req=5

Figure 1: Clinical photograph showing multiple erosions with crusts and scars over the dorsum of both hands
Mentions: A 30-year-old unmarried male presented with an 8-month history of tense fluid-filled lesions over the back of both hands leaving behind erosions and scars. There was history of photosensitivity, weight loss and high-risk behavior over the past 1 year. He reported moderate alcohol intake in the past, but denied drinking during the previous 1 year. There was no history suggestive of liver disease or of having similar complaints in the family. Physical examination revealed multiple erosions with crusts, scars over the dorsum of both hands [Figure 1] and face. Minimal hypertrichosis of the face was present [Figure 2].

Bottom Line: Woods lamp examination of the urine, histopathology and urinary porphyrin levels were suggestive of porphyria cutanea tarda (PCT).The patient responded well to hydroxychloroquine and antiretroviral drugs.This case report calls for a detailed evaluation and HIV testing in every patient with PCT.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Venereology and Leprosy, Father Muller Medical College, Mangalore, Karnataka, India.

ABSTRACT
A 30-year-old unmarried, heterosexual male presented with an 8-month history of tense blistering skin lesions over the hands. Physical examination revealed facial hypertrichosis and multiple erosions with crusts and scars over the dorsum of both hands. Woods lamp examination of the urine, histopathology and urinary porphyrin levels were suggestive of porphyria cutanea tarda (PCT). The patient responded well to hydroxychloroquine and antiretroviral drugs. This case report calls for a detailed evaluation and HIV testing in every patient with PCT.

No MeSH data available.


Related in: MedlinePlus