Table 3.128.
Main types and characteristics of porphyrias
Type | Alternative name | Particular features | |
---|---|---|---|
Acute | Variegate porphyria* | South African (Afrikaans) genetic porphyria | Acute, severe abdominal pain; cardiovascular disturbances; neuropsychiatric disturbance; autonomic dysfunction; rashes |
Acute intermittent porphyria* | Swedish porphyria | Acute, severe abdominal pain; cardiovascular disturbances; neuropsychiatric disturbance; autonomic dysfunction | |
Hereditary coproporphyria* | Coproporphyria | Acute, severe abdominal pain; cardiovascular disturbances; neuropsychiatric disturbance; autonomic dysfunction | |
Non-acute | Porphyria cutanea tarda |
Cutaneous hepatic porphyria |
Photosensitivity and iron overload. Drugs do not precipitate acute attacks but the condition is aggravated by alcohol, oestrogens, iron and polychlorinated aromatic compounds |
Congenital porphyria** | Erythropoietic porphyria, Gunther's disease | Red teeth; hypertrichosis; severe mutilating photosensitivity rashes; haemolytic anaemia |
Clinically significant.
Erythropoietic.