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A case of porphyria cutanea tarda in association with idiopathic myelofibrosis and CREST syndrome

โœ Scribed by S.C. Lee; S.J. Yun; J-B. Lee; S-S. Lee; Y.H. Won


Publisher
John Wiley and Sons
Year
2001
Tongue
English
Weight
291 KB
Volume
144
Category
Article
ISSN
0007-0963

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โœฆ Synopsis


We report a 56-year-old Korean woman with porphyria cutanea tarda (PCT), showing multiple scarring bullae and hypertrichosis on sun-exposed areas of skin with postinflammatory hyperpigmentation. Sclerodermoid changes were also found on both hands, the face and neck. The patient had suffered from CREST syndrome, manifesting with Raynaud's phenomenon and sclerodactyly, for more than 15 years. Anticentromere antibody was positive. She had presented with splenomegaly 3 years before the development of PCT, and was diagnosed as having idiopathic myelofibrosis, based on bone marrow biopsy. In summary, she had had CREST syndrome for 15 years and later developed idiopathic myelofibrosis and PCT. This is the first reported case of PCT in association with idiopathic myelofibrosis and CREST syndrome.


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## Background: Porphyria cutanea tarda (pct) is associated in most cases with iron overload, which may participate in decreased activity of uroporphyrinogen decarboxylase in the liver. the aetiology of this iron overload remains unknown; however, it has been demonstrated that mutations of hfe, the