[Porphyria cutanea tarda in a hemodialysed patient with hepatitis C virus infection: efficacy treatment by small repeated phlebotomies].
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.
Hannoud
S
S
Service de dermatologie, CHU Ibn-Sina, Rabat, Maroc. sanaahannoud@hotmail.com
Senouci
K
K
Sbai
M
M
Benzekri
L
L
Hassam
B
B
Balafrej
L
L
Ouzeddoune
N
N
Heid
E
E
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