26863 Porphyria cutanea tarda in a hemodialysis patient

Abstract

A 48-year-old female presented to dermatology clinic for several months of painful blisters on the backs of her hands. Medical history was significant for morbid obesity s/p Roux-en-Y bypass surgery, end-stage renal failure on hemodialysis, substance abuse, congestive heart failure, and depression. Medications included duloxetine, apixaban, and pantoprazole. On physical exam, the patient had multiple tense bullae with surrounding erythema and scattered crusts on her bilateral dorsal hands. Notably, she also had increased hair growth around her chin consistent with hypertrichosis.