Porphyria (Congenital? Mixed?). Presented by Dr. Louis Jaffe and (by invitation) Dr. Jacob G. Shade.
A white boy aged 8, well nourished, well developed, and hairy for his age, presented shallow punched-out irregular scars over the chin, cheeks, left ear, and nape and crusted ulcers and scars over the knuckles, chiefly the metacarpophalangeal joints. A 14 mm. thick-walled tense bulla, clear and translucent, was present on the radial side of the right index finger; a 4 mm. bulla, on the dorsal surface of the base of the right thumb, and another, on the extensor surface of the left elbow. The distal two-thirds of the thumbnails were discolored brownish-purple. The knees were spared.
The patient had a "cold" in September, 1956, and received an injection for it. Shortly thereafter the mother noted pink urine off and on, especially in the morning. A month later the patient had
Flood JM, Luscombe HA. PHILADELPHIA DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1958;78(1):129–133. doi:10.1001/archderm.1958.01560070133030