Table 5 Key porphyrin biochemistry findings characteristic of active acute versus cutaneous presentation of AHPs

From: International Porphyria Molecular Diagnostic Collaborative: an evidence-based database of verified pathogenic and benign variants for the porphyrias

 

During acute attacks

Cutaneous manifestations

Porphyria

Urine ALA/PBG

Total fecal porphyrins

FCR

Plasma scana (nm)

Urine ALA/PBG

Total fecal porphyrins

FCR

Plasma scana (nm)

AIP

Highly increased > 4-fold URL

±Normal

<1.5

615–620

Not applicable

HCP

Highly increased > 4-fold URL

Highly increased (Copro III)

>1.5

615–620

±Normal

Highly increased (Copro III)

>1.5

615–620

VP

Highly increased > 4-fold URL

Highly increased (Proto IX & Copro III)

>1.5

625–628

±Normal

Highly increased (Proto IX & Copro III)

>1.5

625–628

  1. ALA 5-aminolaevulinic acid, Copro III coproporphyrin III isomer, FCR fecal coproporphyrin III:I isomer ratio, PBG porphobilinogen, Proto IX protoporphyrin IX, URL upper reference limit.
  2. aPlasma porphyrin fluorescence scan emission wavelength.