An HIV-Infected Woman With Porphyria Cutanea Tarda
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چکیده
A 37-year-old HIV-infected white woman with a CD4+ cell count of 29/μL and an HIV RNA level of 538,000 copies/mL presented with a 2-month history of pruritic blistering eruptions on the dorsal aspects of her hands and feet and hyperpigmentation of the face. The patient had no associated abdominal pain, neurological symptoms, urine discoloration, or light sensitivity. Her medical history included Pneumocystis jiroveci pneumonia. There was no family history of porphyria. Present medications included nevirapine, tenofovir, emtricitabine, dapsone, and weekly azithromycin. The patient was allergic to trimethoprim/sulfamethoxazole. She was a smoker but denied alcohol and recreational drug use.
منابع مشابه
Porphyria cutanea tarda in a HIV- positive patient*
This is a case report about Porphyria cutanea tarda (PCT) and its relationship with the infection caused by the human immunodeficiency virus (HIV). Cutaneous porphyria is an illness caused by enzymatic modification that results in partial deficiency of uroporphyrinogen decarboxylase (Urod), which may be hereditary or acquired. Several studies suggest that HIV infection associated with cofactors...
متن کاملPseudoporphyria in association with Hepatitis C virus infection: A case report
Pseudoporphyria is an uncommon bullous disease with similar clinical and histopathological findings to porphyria cutanea tarda, in the absence of detectable porphyrin elevation. We present a 34-year-old man with clinical and histological findings compatible with porphyria cutanea tarda, whose his urinary uroporphyrin was negative and we concluded that he was a case of pseudoporphyria. Concomita...
متن کاملPrecipitating factors of porphyria cutanea tarda in Brazil with emphasis on hemochromatosis gene (HFE) mutations. Study of 60 patients*
BACKGROUND Porphyria cutanea tarda is the most common form of porphyria, characterized by the decreased activity of the uroporphyrinogen decarboxylase enzyme. Several reports associated HFE gene mutations of hereditary hemochromatosis with porphyria cutanea tarda worldwide, although up to date only one study has been conducted in Brazil. OBJECTIVES Investigation of porphyria cutanea tarda ass...
متن کاملPorphyria cutanea tarda in association with the human immunodeficiency virus infection.
A 42 year old heterosexual male with symptomatic human immunodeficiency virus infection presented with a 2-week history of tense blistering skin lesions following azidothymidine therapy. Urinary porphyrin excretion confirmed the diagnosis of porphyria cutanea tarda. The blisters resolved following the withdrawal of the drug but recurred when rechallenged. Three other cases of porphyria cutanea ...
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تاریخ انتشار 2017