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January 1958


AMA Arch Derm. 1958;77(1):142-145. doi:10.1001/archderm.1958.01560010144038

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Porphyria Cutanea Tarda. Presented by Dr. John H. Epstein and Dr. Norman N. Epstein.

A 36-year-old Negro man, who had been well until six years ago, first noted blisters on his knees and the dorsa of his hands. In addition he noted that the skin rubbed off these areas easily and left scars and "white" papules. This has persisted to the present, the pinna of each ear and the elbows, forearms, legs, and feet being involved at times. The lesions consistently followed trauma. The conjunctiva have been red and painful on several occasions, but his vision has remained good.

On Feb. 25, 1957, the patient injured his right leg while at work and received penicillin and an antitetanus injection. That evening he developed severe conjunctivitis and burning of the eyes. This has subsided since, and the injured site is healing.

The patient has never had red or

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