Pseudoporphyria secondary to renal failure

Introduction . Pseudoporphyria is a rare disease associated with chronic renal failure. Symptoms of pseudoporphyria may develop in response to UV exposure and medications. The literature reports cases of pseudoporphyria in patients infected with hepatis C virus, HIV and undergoing dialysis therapy....

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Bibliographic Details
Main Authors: Lilianna Kulczycka-Siennicka, Anna Woźniacka, Remigiusz Szumiński, Agnieszka Żebrowska
Format: Article
Language:English
Published: Termedia Publishing House 2017-04-01
Series:Przegląd Dermatologiczny
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Online Access:https://www.termedia.pl/Pseudoporphyria-secondary-to-renal-failure,56,29863,1,1.html
Description
Summary:Introduction . Pseudoporphyria is a rare disease associated with chronic renal failure. Symptoms of pseudoporphyria may develop in response to UV exposure and medications. The literature reports cases of pseudoporphyria in patients infected with hepatis C virus, HIV and undergoing dialysis therapy. Objective . Presentation of the case of a patient with pseudoporphyria and uraemic pruritus, and overview of therapeutic management. Case report . A 64-year-old male patient, who had been on dialysis for chronic renal failure secondary to type 2 diabetes for the past 11 years, presented with tense bullae located on sun-exposed skin which had persisted for the previous 5 months. The patient was diagnosed with pseudoporphyria, and treatment was prescribed including N-acetylcysteine, chloroquine, paroxetine and mianserin. An improvement in the patient’s clinical condition and a regression of pruritus were achieved. Conclusions . Patients with renal failure may develop symptoms of pseudoporphyria requiring differentiation from porphyria cutanea tarda.
ISSN:0033-2526
2084-9893