title: [Porphyria cutanea tarda in a hemodialysed patient with hepatitis C virus infection: efficacy treatment by small repeated phlebotomies].
abstract: BACKGROUND
  Porphyria cutanea tarda (PCT) is a disorder of heme biosynthesis resulting from deficiency in the enzyme uroporphyrinogen decarboxylase. In the sporadic form of PCT, there are many agents that trigger the clinical manifestations.
  
  
  METHODS
  We report a case of PCT in an hemodialysed patient with hepatitis C virus infection (HVC). He was treated with small repeated phlebotomies of 50 ml every week with photoprotection, eviction of traumatismes and inducing drugs. A clinical remission was induced after five months of treatment.
  
  
  CONCLUSIONS
  A proper diagnosis of PCT in non uremic hemodialysed patients requires fractionation of serum and fecal porphyrin changes. Management of this patients is difficult. Small repeated phlebotomies (50-100 ml) could be an interesting therapy.
authors.affiliation: Service de dermatologie, CHU Ibn-Sina, Rabat, Maroc. sanaahannoud@hotmail.com
authors.forename: S
authors.initials: S
authors.lastname: Hannoud
authors.forename: K
authors.initials: K
authors.lastname: Senouci
authors.forename: M
authors.initials: M
authors.lastname: Sbai
authors.forename: L
authors.initials: L
authors.lastname: Benzekri
authors.forename: B
authors.initials: B
authors.lastname: Hassam
authors.forename: L
authors.initials: L
authors.lastname: Balafrej
authors.forename: N
authors.initials: N
authors.lastname: Ouzeddoune
authors.forename: E
authors.initials: E
authors.lastname: Heid
mesh_terms: D000368:Aged; D006526:Hepatitis C / Q000150:complications*; D006801:Humans; D008297:Male; D018962:Phlebotomy; D017119:Porphyria Cutanea Tarda / Q000209:etiology / Q000628:therapy*; D006435:Renal Dialysis; D016896:Treatment Outcome