Abstract
Congenital erythropoietic porphyria (Gunther disease, CEP) is a rare autosomal recessive disorder of haeme biosynthesis. It is characterized by extreme photosensitivity and the excretion of large amounts of uroporphyrin I and coproporphyrin I in the urine and coproporphyrin I in the faeces. We have diagnosed two cases of congenital erythropoietic porphyria, who were first cousins once removed. They had recurrent skin bullae, scarring on the face and hands, hirsutism, discoloured fluorescent teeth, red urine, increased haemolysis and grossly increased excretion of porphyrin. Both children had blepharitis and their sclera gave pink fluorescence under long wave ultraviolet light, mainly in the interpalpebral fissures. All the features of our two patients, except the ocular lesions, conformed to cases of CEP resported in the literature. We have encountered no other reports on ocular lesions in CEP since first described by Chumbley in 1977.
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Abbreviations
- CEP:
-
Congenital erythropoietic porphyria
References
Bhutani LK, Sood SK, Das PK, Shridhar G, et al (1974) Congenital erythropoietic prophyria. An autopsy report. Arch Dermatol 110:427–431
Chumbley LC (1977) Scleral involvement in symptomatic porphyria. Am J Ophthalmol 84(5):729–733
Deybach JC, Grandchamp B, Brelier M, Nordmann Y, Boue J, Boue A, Berranger P de (1980) Prenatal exclusion of congenital erythropoietic porphyria (Gunther's disease) in a fetus at risk. Hum Genet 53:237–221
Deybach JC, Verneuil H de, Phung N, Nordmann Y, Puissant A, Boffety B (1981) Congenital erythropoietic porphyria (Gunther's disease). Enzymatic studies on two cases of late onset. J Lab Clin Med 97:551–558
Deybach JC, Verneuil H de, Boulechfar S, Grandchamp B, Nordmann Y (1990) Point mutations in the uroporhyrinogen III synthase gene in congenital erythropoietic porphyria (Gunther's disease). Blood 75(9):1763–1765
Gunther H (1911) Die Haematoporphyrie. Dtsch Arch Klin Med 105:89
Haining RG, Cowger ML, Shurtleff DB, Labbe RF (1968) Congenital crythropoietic porphyria. A case report, special studies and therapy. Am J Med 45:624–637
Marver HS, Schmid R (1972) The porphyrias. In: Stanbury JB, Wyngaarden JB, Fredrickson DS (eds) The metabolic basis of inherited disease, 3rd edn. McGraw-Hill, New York, pp 1087–1140
Tschudy DP (1986) The porphyrins. In: William WJ, Beutler E, Erslev AJ, Lichtman MA (eds) Hematology, 3rd edn. McGraw-Hill, Singapur, p 691
Watson CJ, Perman V, Spurrell FA, Hoyt HH, Schwartz S (1956) Some studies of the comparative biology of human and bovine porphyria erythropoietica. Trans Assoc Am Physicians 71:196–209
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Oguz, F., Sidal, M., Bayram, C. et al. Ocular involvement in two symptomatic congenital erythropoietic porphyria. Eur J Pediatr 152, 671–673 (1993). https://doi.org/10.1007/BF01955245
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DOI: https://doi.org/10.1007/BF01955245