Porphyria cutanea tarda in association with the human immunodeficiency virus infection. NLM AIDSLINE Important note: Information in this article was accurate in 1989. The state of the art may have changed since the publication date.

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Porphyria cutanea tarda in association with the human immunodeficiency virus infection.

Postgrad Med J. 1988 Dec;64(758):956-7. Unique Identifier : AIDSLINE MED/89386369
Ong EL; Ellis ME; McDowell D; Gebril M; Weinkove C; Ead R; Regional Department of Infectious Diseases and Tropical Medicine,; Monsall Hospital, Manchester, UK.


Abstract: A 42 year old heterosexual male with symptomatic human immunodeficiency virus infection presented with a 2-week history of tense blistering skin lesions following azidothymidine therapy. Urinary porphyrin excretion confirmed the diagnosis of porphyria cutanea tarda. The blisters resolved following the withdrawal of the drug but recurred when rechallenged. Three other cases of porphyria cutanea tarda, not associated with azidothymidine, who subsequently developed acquired immunodeficiency syndrome have recently been described. If azidothymidine is not the precipitating agent, it is possible that human immunodeficiency virus itself can impair porphyrin metabolism, leading to the clinical and biochemical features of porphyria cutanea tarda.
Keywords: Acquired Immunodeficiency Syndrome/*COMPLICATIONS/DRUG THERAPY Adult Case Report Human Male Porphyria/CHEMICALLY INDUCED/*COMPLICATIONS Skin Diseases/CHEMICALLY INDUCED/*COMPLICATIONS Zidovudine/ADVERSE EFFECTS JOURNAL ARTICLEKWDacquiredimmunodeficiencysyndrome/KWDcomplications/drugtherapyadultcasereporthumanmaleporphyria/chemicallyinduced/KWDcomplicationsskindiseases/chemicallyinduced/KWDcomplicationszidovudine/adverseeffectsjournalarticle
891230
M89C0768

Copyright © 1989 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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