Respiratory Medicine, University Hospitals Birmingham, Birmingham, UK
Cardiology Department, Fairfield General Hospital, Northern Care Alliance NHS Foundation Trust, Manchester, UK.
BMJ Case Rep. 2023 Sep 7;16(9):e253203. doi: 10.1136/bcr-2022-253203.
We present a case of a woman who presented with a photosensitive skin rash and blisters on her extremities which did not improve with steroids. These were associated with polyarthralgia and a deranged liver function test on her admission. Further workup revealed that the patient has an undiagnosed porphyria cutanea tarda (PCT) and hereditary haemochromatosis. The patient later underwent regular venesections which improved her condition. This case report not only illustrates the challenge in diagnosing PCT but also aims to highlight the association between PCT and hereditary haemochromatosis.
我们报告了一例女性病例，其表现为光敏性皮疹和四肢水疱，类固醇治疗无效。这些症状伴有多关节炎和入院时肝功能检查异常。进一步检查显示患者患有未确诊的迟发性皮肤卟啉病（PCT）和遗传性血色素沉着症。患者后来接受了定期放血治疗，病情有所改善。本病例报告不仅说明了诊断 PCT 的挑战，还旨在强调 PCT 与遗传性血色素沉着症之间的关联。
