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Photodermatol. 1987 Feb;4(1):14-22.

Porphyrin studies in chronic renal failure patients on maintenance hemodialysis.

Abstract

Porphyrin studies were performed on 85 chronic renal failure patients on maintenance hemodialysis. Free erythrocyte porphyrins were elevated in 70% of patients, and a significant positive correlation between erythrocyte porphyrin and serum aluminium was found. Although plasma porphyrins were elevated in 58% of our patients, the elevated heptacarboxylic fraction invariably seen in porphyria cutanea tarda (PCT) was not present in the hemodialyzed patients. Total urine and fecal porphyrins were low, due to a marked decrease in the coproporphyrin and dicarboxylic fractions, respectively. An unequivocal diagnosis of PCT was made in 1 hemodialysis patient whose biochemical findings included an extremely high total plasma porphyrin with a large heptacarboxyl-porphyrin fraction. We found no biochemical evidence for any trend towards PCT in the remaining hemodialysis patients. The porphyrin results on a subgroup of hemodialysis patients with blisters or a history of blisters on sun-exposed skin were similar to those of the hemodialysis patients without blisters.

PMID:
3615245
[Indexed for MEDLINE]

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