Case 304: Porphyria Cutanea Tarda

Radiology. 2022 Aug;304(2):488-492. doi: 10.1148/radiol.204599.

Abstract

In 2017, a 72-year-old woman was seen in the gastroenterology department with a 2-month history of mild and intermittent abdominal pain without other accompanying symptoms. Her medical history was unremarkable, except for a previous visit due to facial photodermatitis 3 years earlier. Diazepam for a sleeping disorder was the only chronic medication recorded. Results of physical examination, blood count, and basic metabolic panels including assessment of renal and liver function were normal; only the ferritin level was slightly elevated (265 ng/mL [595 pmol/L]; normal range, 10-120 ng/mL [22-269 pmol/L]). Abdominal US was performed, followed by multiphasic contrast-enhanced CT and liver MRI due to the findings of the first study. A diagnosis was not established in that moment, and acetaminophen was prescribed for pain relief. As the symptoms continued, laboratory tests and imaging studies were repeated 2 years later, with similar findings and no notable changes.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Porphyria Cutanea Tarda* / complications
  • Porphyria Cutanea Tarda* / diagnostic imaging