To the Editor: Congenital erythropoietic porphyria is a defectof uroporphyrinogen III synthase, with accumulation of uroporphyrinI, extreme hemolysis, and photosensitivity1,2. We previouslyreported the effectiveness of aggressive transfusion in a patientwith severe disease3. The excess porphyrins were mostly of erythropoieticorigin.
The patient, who had been dependent on transfusions since birth,is now 18 years old. The base-line hematocrit, maintained initiallyat 20 percent or higher, was raised to 33 percent or higherby two years of age. The serum porphyrin levels remained at48 to 76 µg per deciliter. At the age of six . . . [Full Text of this Article]
References
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