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MAJ Mary K. Mather, MC, USA; COL Purnima Sau, MC, USA
From the Dermatology Service, Walter Reed Army Medical Center, Washington, DC.

Arch Pediatr Adolesc Med. 1998;152:603-604.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

AN OTHERWISE healthy 13-month-old boy was taken to the pediatrician for evaluation of "crying when in the sun," leathery appearance of the skin on the dorsum of the hands (Figure 1), and irritation and redness of the skin of the upper lip and bridge of nose. Five months later, when the child moved from a northern climate to Georgia, the mother noted marked worsening of the redness and sun-induced sensitivity of his skin. A clinical diagnosis of erythropoietic protoporphyria (EEP) was made. Laboratory studies showed a florescence (4+) of the red blood cells. Erythrocyte protoporphyrin level was 3.96 µmol/L (normal, <0.62 µmol/L). A biopsy specimen from an affected area of skin on the right dorsal hand is shown in Figure 2.

Figure 1.

Figure 2.

Diagnosis and Discussion: Erythropoietic Protoporphyria

Figure 1. Dorsal hands of the patient, demonstrating the leathery, . . . [Full Text of this Article]

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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Possible Link Between Erythropoietic Protoporphyria and Alport Syndrome
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Arch Pediatr Adolesc Med 1998;152:1248-1248.
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