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Photosensitivity is the clinical hallmark of both erythropoietic protoporphyria (EPP) and X-linked dominant protoporphyria (XLDPP). Both disorders result from a hereditary dysfunction in heme biosynthesis. Disease onset is usually in early childhood. However, rare patients with late-onset EPP in association with a myeloproliferative disorder or myelodysplastic syndrome have been reported. In this issue, Livideanu et al. describe the first patient with late-onset XLDPP.


Jorge Frank, Pamela Poblete-Gutiérrez, Norbert J Neumann. Photosensitivity in the elderly-think of late-onset protoporphyria. The Journal of investigative dermatology. 2013 Jun;133(6):1467-71

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PMID: 23673504

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