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Article
June 1981

Porphyria Turcica

Arch Dermatol. 1981;117(6):318. doi:10.1001/archderm.1981.01650060006010
Abstract

To the Editor.—  I read with interest the article by Cripps et al on porphyria turcica in the January Archives (1980;116:46). In 1962, I studied this epidemic in Eastern Turkey.1Cripps et al described, as a most unusual long-term feature of Turkish porphyria, the changes seen in the hands of 14 patients who had a shortening of the distal phalanges. I would like to comment that the shortening of the phalanges is not, by any means, specific to Turkish porphyria. I have reported the condition in porphyria variegata in South Africa and in erythropoietic porphyria.2I enclose a photograph of the hands of a patient from South Africa who is suffering from porphyria variegata (Fig 1). It is rare in South African porphyria, and it is interesting that it also should be common among the survivors of the Turkish epidemic. I also enclose a photograph of similar atrophy

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