1. 'They Won’t Let Me Return to Work.' A Carpenter Diagnosed with Porphyria Cutanea Tarda
- Author
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Jonathan B Karnes, Maulik M Dhandha, and Max A Schaefer
- Subjects
congenital, hereditary, and neonatal diseases and abnormalities ,medicine.medical_specialty ,integumentary system ,business.industry ,Estrogen use ,nutritional and metabolic diseases ,Blistering skin ,Hepatitis C ,medicine.disease ,Return to work ,Dermatology ,Porphyria ,Cigarette smoking ,medicine ,Significant response ,Porphyria cutanea tarda ,skin and connective tissue diseases ,business ,hormones, hormone substitutes, and hormone antagonists - Abstract
Porphyria cutanea tarda (PCT) is characterized by a skin blistering eruption that develops in sun exposed areas of the skin. It is the most common cutaneous porphyria world-wide, and classically associated with hepatic injury but also estrogen use, cigarette smoking, and HIV. In any case of photodistributed persistent blistering skin condition, PCT must be high on the differential. This case of a carpenter diagnosed with PCT not only illustrates a classic case but also the opportunity to achieve significant response to therapy in a motivated patient particularly with improved access to direct-acting antivirals (DAA) for hepatitis C treatment.
- Published
- 2021