case_images: PMC10823327_01
case_images: Hands with infected bullae and mutilated index fingers (2017).
case_images: omad151f1.jpg
case_images: PMC10823327_01_omad151f1.jpg
case_images: f1
case_images: On examination, he had infected bullae on the face and hands with mutilated index fingers (Fig. 1), nose bridge (Fig. 2), violaceous gums (Fig. 3), hypertrichosis, and splenomegaly 3 cm below the costal margin.
case_images: Porphyrins accumulation on the gums: erythrodontia (2023).
case_images: omad151f3.jpg
case_images: PMC10823327_01_omad151f3.jpg
case_images: f3
case_images: On examination, he had infected bullae on the face and hands with mutilated index fingers (Fig. 1), nose bridge (Fig. 2), violaceous gums (Fig. 3), hypertrichosis, and splenomegaly 3 cm below the costal margin.
case_images: Congenital erythropoietic porphyria: discolouration of urine (2023).
case_images: omad151f4.jpg
case_images: PMC10823327_01_omad151f4.jpg
case_images: f4
case_images: Additional history revealed that the patient had red urine (Fig. 4) and faeces.
case_images: Amputation of the distal index and middle finger phalanges (2023).
case_images: omad151f5.jpg
case_images: PMC10823327_01_omad151f5.jpg
case_images: f5
case_images: Five years of follow-up with the described supportive care were accompanied by an ongoing significant deterioration of the patient's condition, such as amputation of the distal index and middle finger phalanges (Fig. 5).
case_images: The destruction and deformation of the nose bridge nostrils (2023).
case_images: omad151f6.jpg
case_images: PMC10823327_01_omad151f6.jpg
case_images: f6
case_images: The destruction and deformation of the nose bridge nostrils (Fig. 6) and auricles (Fig. 7) continued to worsen.