Porphyria. Presented by Dr. Farrington Daniels, Jr.
This 13-year-old Puerto Rican boy was apparently well until 1960 at which time he was seen at Bellevue Hospital for tonsillitis and was found to have red urine. He was well studied at Bellevue and a diagnosis of porphyria, mixed hepatic type was made. He remained asymptomatic until 1963 when lesions appeared on the upper extremities. These were described as blebs which would increase in size, ulcerate and bleed. Healing was slow. He was first seen at New York Hospital in 1964 with numerous vessels, ulcers, excoriations, and hyperpigmented lesions. No definite history of sunlight sensitivity was obtained. Except for occasional epistaxis, the child has been otherwise well. There have been no neurological or abdominal complaints. Psychological evaluation has revealed normal intelligence. Treatment has consisted of topical neomycin to ulcerated lesions and the use of a sun screen ointment (Red Vet Pet) from
NEW YORK ACADEMY OF MEDICINE. Arch Dermatol. 1968;97(1):87-90. doi:10.1001/archderm.1968.01610070093015