Diagnosis: Porphyria cutanea tarda
Description: Porphyria cutanea tarda is the most common of the porphyrias which present with skin fragility, erosions, vesicles, bullae, and milia in sun-exposed areas of the skin, sometimes periorbital mottled hyperpigmentation and hypertrichosis, sclerodermoid changes and ulceration.
Morphology: Hair excess
Site: Face
Sex: M
Age: 40
Type: Clinical
Submitted By: Shahbaz Janjua
Differential Diagnosis
History:
A 40 year old man presented with several year history of developing fragility and blitering of the skin of his face and dorsa of hands especially on sun exposure. On examination he had, ulcerations, scarring, milia, and scleroderma like changes over the affected areas. Hypertrichosis was noted on his face. .