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Drug-associated porphyria: a pharmacovigilance study.

Orphanet J Rare Dis

August 2024

Department of Pharmacy, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Article Synopsis
  • * Researchers analyzed ADRs related to porphyria from January 2004 to March 2022 and narrowed down 406 drugs, ultimately identifying 52 drugs associated with adverse effects using various statistical algorithms.
  • * The findings provide essential insights into the safety of drugs for porphyria carriers, helping healthcare providers make informed decisions and avoid prescribing harmful medications.
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Article Synopsis
  • - Pseudoporphyria is a rare skin condition that resembles porphyria cutanea tarda (PCT), and distinguishing between the two is crucial for accurate diagnosis.
  • - It’s linked to chronic kidney failure, certain medications, and tanning bed use, and can cause skin issues like fragility, blisters, and scarring, especially in sun-exposed areas.
  • - A case report highlights a 20-year-old male diagnosed with pseudoporphyria after ruling out true porphyria, who was treated with hydroxychloroquine sulfate and advised to take strict sun protection measures.
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Article Synopsis
  • - A 27-year-old man with schizophrenia developed blistering skin eruptions on his hands, forearms, and face over two days during summer, with no known exposure to chemicals or toxins.
  • - Medical examinations showed large, tense blisters, and lab tests ruled out common causes, leading to a diagnosis of pseudoporphyria.
  • - The patient's recent introduction of olanzapine, an atypical antipsychotic, was identified as the likely cause of his condition, emphasizing the need for thorough medication history inquiries in clinical settings.
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Porphyrias are a group of intriguing genetic diseases of the heme pathway, of which porphyria cutanea tarda (PCT) is the most common. Resulting from a defect in enzymes in the porphyria pathway, PCT has been linked to several conditions. Recent studies have demonstrated a change in thinking regarding the human immunodeficiency virus (HIV) and development of PCT.

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