Article
Erythropoietic Protoporphyria-related Hepatopathy Successfully Treated with Phlebotomy.
Internal medicine (Tokyo, Japan) - 1 Jan 2018
Yoshida Akihiro, Hagiwara Satoru, Watanabe Tomohiro, Nishida Naoshi, Ida Hiroshi, Sakurai Toshiharu, Komeda Yoriaki, Yamao Kentaro, Takenaka Mamoru, Enoki Eisuke, Kimura Masatomo, Miyake Masako, Kawada Akira, Kudo Masatoshi
Abstract excerpt
A 27-year-old man bearing an erythropoietic protoporphyria (EPP)-associated ferrochelatase (FECH) mutation was admitted to our hospital for general malaise and marked elevation of the serum levels of hepatobiliary enzymes and bilirubin. Initial treatment with plasma exchange did not reduce the blood protoporphyrin or serum liver enzyme levels, so phlebotomy was started. Surprisingly, weekly phlebotomy normalized...
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