To the Editor.—
Porphyria cutanea tarda is being seen with increasing frequency in young women. This has been attributed to the intake of estrogens as medication, alone or associated with alcohol.1 The effect of pregnancy on young female patients with porphyria cutanea tarda has only been reported once previously,2 and, therefore, I wish to describe a patient whom I have recently managed through pregnancy with this condition.
Report of a Case.—
A 29-year-old nulliparous woman was first seen in October 1979 with a four-month history of recurrent blisters on the dorsa of her hands and on the face. She had noticed easy fracturing of the skin on her face and hands but had not noticed any change in hair growth. She was otherwise well, and there was no family history of skin disease. She had no Dutch or South African ancestry. She stated that she was a social