Plasma porphyrins among end stage renal disease patients and cutaneous symptoms- is there still an association?

Autor: Shira Goldman, Omri Zidan, Yonatan Edel, Amir Schechter, Tomer Mimouni, Emmilia Hodak, Sharon Cohen, Rivka Mamet, Benaya Rozen-Zvi, Assi Levi
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Molecular Genetics and Metabolism Reports, Vol 33, Iss , Pp 100928- (2022)
Druh dokumentu: article
ISSN: 2214-4269
DOI: 10.1016/j.ymgmr.2022.100928
Popis: Introduction: Several abnormalities of porphyrin metabolism leading to Porphyria Cutanea Tarda (PCT) have been described in early studies of End Stage Renal Disease (ESRD) patients, with a reported prevalence of 5–18%. We aimed to evaluate porphyrin levels and correlation to skin manifestations in modern dialysis era. Methods: The study cohort included adult hemodialysis patients from a single center tertiary medical center. All patients underwent a full skin examination, completed the Dermatology Life Quality Index questioner, and provided a blood sample for porphyrin levels assessment. Results: A total of 94 adult hemodialysis patients were recruited to the study. No clinical PCT was diagnosed. Porphyrin levels did not correlate with any clinical or dialysis quality parameters. Conclusions: In modern hemodialysis era, possibly due to improved porphyrins' metabolism and dialysis removal, PCT is much less prevalent among hemodialysis patients than previously reported in the past.
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