A 40 year old farmer with a history of recurrent attacks of porphyria complains of itching when exposes to the sun and maculopapular rash on sun exposed areas, his symptoms are exaggerated in the summer. The diagnosis is :
Ans. is 'd' Porphyria Cutanea Tarda Sun induced maculopapular lesions, h/o recurrent attacks of porphyria are classical features of porphyria cutanea tarda.Porphyria Cutanea TardaCommonest* PorphyriaSun induced subepidermal blisters on face and hands.Mostly seen in alcoholics* with liver damageEstrogens (steroids) also aggravate itT/t - Venesection or chloroquineOther Facts about porphyriaIn acute intermittent porphyria skin lesions are absent*Other cutaneous porphyrias are :Erythropoietic porphyriaVariegate porphyriaSeborrheic Dermatitis present as greasy scales and has no relation with sunlightPsoriasis presents as erythematous plaques topped by silvery scales*, Exposure to sunlight can aggravate psoriasis although in majority it has beneficial effect.Contact dermatitis- The lesions are usually erythematous vesicles and bullae and there will h/O exposure to allergens.
Seborrheic dermatitis
Contact dermatitis
Psoriasis
Porphyria cutanea tarda
Photosensitive Disorders