Erythropoietic porphyria (EP) is a rare inborn error of porphyrin-heme synthesis inherited that is as an autosomal recessive trait. Congenital erythropoietic porphyria (CEP; OMIM #, also called G√ľnther disease) is a rare, autosomal recessive porphyria. It results from. Gunther disease, also known as congenital erythropoietic porphyria (CEP), uroporphyrinogen III synthase deficiency and UROS deficiency, is a congenital form.

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efythropoietic Urine and feces of patients contain increased levels of uroporphyrinogen I and coproporphyrinogen I Gross et al. Autologous as well as allogeneic stem cell transplants have been performed successfully [ Thomas et alTezcan et alHarada et alShaw et alDupuis-Girod et alTaibjee et alFaraci et al ].

Congenital erythropoietic porphyria (CEP)

Cys73Arg or another pathogenic variant with very low or almost absent residual enzyme activity. Uroporphyrinogen III cosynthetase activity in fibroblasts from patients with congenital erythropoietic porphyria. Carrier testing for at-risk family members and prenatal testing for pregnancies at increased risk are possible if the pathogenic variants in the family have been identified.

In those receiving transfusions: Homozygosity for the c. Blisters affecting whole body may be present in neonatal period Oral involvement Corneal erosions.

Congenital Erythropoietic Porphyria – NORD (National Organization for Rare Disorders)

University of Washington, Seattle lorphyria Symptoms usually start in infancy or childhood and the diagnosis in most patients is suggested by the reddish color of the urine which stains the diapers. More detailed information for clinicians ordering genomic testing can be found here. There are also reports that stem cell transplantation is successful in a limited number of participants [16].


Intracellular rescue of the uroporphyrinogen III synthase activity in enzymes carrying the hotspot mutation C73R. Red urine may be observed from infancy, and the teeth become stained red. Treatment consists of eliminating or treating the underlying cause and, if symptoms persist, frequent phlebotomies or therapy with oral low-dose hydroxychloroquine. Can certain medications make CEP worse?

Congenital erythropoietic porphyria (CEP) | European Porphyria Network

Subtle complications of long-term charcoal ingestion, such as nutrient malabsorption or systemic porphjria of charcoal, require further evaluation. Acute hepatic porphyria is apparently recessive see In patients with hepatic dysfunction, avoidance of drugs which may induce cholestasis e.

Porphyria was established by high levels of porphyrins in the urine, feces, and blood. The surgeon should be aware of this risk, in order to minimise the amount of light exposure, for example, by using special light filters. Support Center Support Center. The acute porphyrias are characterized by the acute-onset of neurologic attacks especially abdominal pain, hypertension, etc.

Each of the 2 forms of porphyria was established by enzymatic study.

Hemolytic anemia is common and can range from mild to severe, with some affected individuals requiring chronic blood transfusions. This Patient Information is based on the leaflet written by Dermatologist Dr R Katugampola, and includes information and experience gained from erythropoietif clinical research study during which she interviewed and examined more than 20 CEP patients.


Gunther disease

Successful gene therapy of mice with congenital erythropoietic porphyria. Each porphyria is characterized by abnormally high levels of particular chemicals porphyrins in the body due to deficiencies of certain enzymes in the step-wise synthesis of heme, the essential component congenitxl hemoglobin and various hemo-proteins.

Treatment of Ccongenital Cutaneous photosensitivity. Affected Populations CEP is a very rare genetic disorder that affects males and females in equal numbers. Hydroxymethylbilaneprecursor to uroporphyrinogen III. On the tenth day of life the baby showed a rash with blisters on the backs of the hands and red discoloration of the urine. Urinary porphyrin excretion is markedly increased times normal and consists mainly of uroporphyrin I and coproporphyrin I, with lesser erythropoietoc in hepta- hexa- and pentacarboxyl porphyrin isomers [ Fritsch et al ].

Management Evaluations Following Initial Diagnosis To establish the extent of disease and needs of an individual diagnosed with congenital erythropoietic porphyria Congenitaalthe following evaluations are recommended: Alone we are rare. Bullous skin lesions in a jaundiced infant after phototherapy: In milder cases patients have not presented any symptoms until they have reached adulthood.

A rare abnormality of the normoblasts.