Porphyrias are a group of genetic disorders caused by problems with how your body makes a substance called heme. Heme is found throughout the body, especially in your blood and bone marrow, where it carries oxygen.
There are two main types of porphyrias. One affects the skin and the other affects the nervous system. People with the skin type develop blisters, itching, and swelling of their skin when it is exposed to sunlight. The nervous system type is called acute porphyria. Symptoms include pain in the chest, abdomen, limbs, or back; muscle numbness, tingling, paralysis, or cramping; vomiting; constipation; and personality changes or mental disorders. These symptoms come and go.
Certain triggers can cause an attack, including some medicines, smoking, drinking alcohol, infections, stress, and sun exposure. Attacks develop over hours or days. They can last for days or weeks.
Porphyria can be hard to diagnose. It requires blood, urine, and stool tests. Each type of porphyria is treated differently. Treatment may involve avoiding triggers, receiving heme through a vein, taking medicines to relieve symptoms, or having blood drawn to reduce iron in the body. People who have severe attacks may need to be hospitalized.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
Treatments and Therapies
- Porphyria Treatment Options (American Porphyria Foundation)
- Diet and Nutrition in Porphyria (American Porphyria Foundation)
- Acute Intermittent Porphyria (AIP) (American Porphyria Foundation)
- Congenital Erythropoietic Porphyria (CEP) (American Porphyria Foundation)
- Erythropoietic Protoporphyria (EPP) or Protoporphyria (American Porphyria Foundation)
- Porphyria Cutanea Tarda (PCT) (American Porphyria Foundation)
- Genetics Home Reference: dyserythropoietic anemia and thrombocytopenia (National Library of Medicine)
- Genetics Home Reference: porphyria (National Library of Medicine)
- Learning about Porphyria (National Human Genome Research Institute)
- ClinicalTrials.gov: Porphyrias (National Institutes of Health)
Journal Articles References and abstracts from MEDLINE/PubMed (National Library of Medicine)
- Delta-ALA urine test (Medical Encyclopedia) Also in Spanish
- PBG urine test (Medical Encyclopedia) Also in Spanish
- Porphyria (Medical Encyclopedia) Also in Spanish
- Porphyria (National Institute of Diabetes and Digestive and Kidney Diseases)
- Porphyrins - blood test (Medical Encyclopedia) Also in Spanish
- Porphyrins - urine (Medical Encyclopedia) Also in Spanish