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. 1986 Mar;33(3):219-32.

The porphyrias

  • PMID: 3513498

The porphyrias

S A Sekula et al. Am Fam Physician. 1986 Mar.

Abstract

The porphyrias are caused by hereditary defects in the synthesis of heme. Each porphyria is characterized by a unique enzyme defect and measurable elevations of specific heme precursors. While qualitatively normal, these precursors accumulate to cause protean signs and symptoms. Photosensitivity should raise the suspicion of a porphyria, especially in a child or a young adult. The skin, teeth and eyes may provide clues to the diagnosis in some cases.

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