Pseudo-porphyria in a patient with hepatocellular carcinoma

Claus A. Pierach, Irene C. Bossenmaier, Ruth A. Cardinal, Mary K. Weimer

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

An elderly woman was found to have hepatocellular carcinoma and, incidental to this, markedly elevated levels of porphobilinogen in urine and serum. The delta-aminolevulinic acid levels in urine and serum were normal, but there was a distinct increase of porphyrins in urine and feces. Neither the patient nor her family gave a history suggestive of a clinical porphyria. The patient died from the carcinoma without ever exhibiting porphyric symptoms. It is assumed that the hepatocellular carcinoma produced the excessive amounts of porphobilinogen.

Original languageEnglish (US)
Pages (from-to)545-548
Number of pages4
JournalThe American Journal of Medicine
Volume76
Issue number3
DOIs
StatePublished - Mar 1984

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