THE LOS ANGELES DERMATOLOGICAL SOCIETY

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Abstract
Porphyria Cutanea Tarda. Presented by Dr. Paul D. Foster. For approximately three years, the patient, a 48-year-old white man, has noticed that the skin of his hands bruises easily, producing vesicles and bullae. There is no history of jaundice or of abdominal pain. The only operation which this patient has undergone is a tonsillectomy. Family history and past history are irrelevant. Physical examination shows a picture consisting of active and healing vesicobullous lesions on the dorsa of the hands. Some are crusted, and some, raised and inflamed. There are no similar lesions on the face, although the patient does present a change of consistency and color of the skin. He also has many small sebaceous cysts of the face. Laboratory work was essentially normal. Urine chemistry (10-8-57): Porphobilinogen, negative; uroporphyrin, faintly positive; coproporphyrin, faintly positive. Biopsy report (Dr. Wilbert Sachs): Subepidermal bullae. While this is probably an epidermol

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