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 Günther 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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Congenital Erythropoietic Porphyria – GeneReviews® – NCBI Bookshelf

Protection from phototoxic injury during surgery and endoscopy in erythropoietic protoporphyria. British Journal of Dermatology. Adult-Onset Form Deybach et al. The proband ‘s maternal aunts may be at risk of being carriers and the aunts’ offspring, depending on their gender, may be at risk of being carriers or of being affected.


CEP can affect males and females congenifal, and any ethnic congejital. If you are concerned about the likelihood of passing the condition onto your children, you may be referred to a geneticist or porphyria specialist centere for information. Each individual has 2 copies of every gene, one inherited from their mother, and one from their father. Monitor hematologic indices to assess hemolysis every six months.

Porphyria was established by high levels of porphyrins in the urine, feces, and blood.

Gunther disease

Usually, the disease shows itself soon after birth or in early childhood, but sometimes onset of disease is delayed until adolescence or early adulthood. For clarity, excerpts of GeneReviews chapters for use in lab reports and clinic notes are a permitted use.


Unlike the cutaneous manifestations in erythropoietic protoporphyria EPPsymptoms such as tingling, burning, itching, or swelling usually do not occur in persons with CEP after light exposure. A more invasive way to help treat Gunther’s disease would be to have surgery.

In severely affected patients, anemia may be present in the fetus. Usually manifests in adulthood Distinct biochemical porphyrin profile. If a patient has a life-threatening infectious complication then porphyia marrow transplantation is no longer relevant for them. Homozygosity for the c. The following section deals with genetic risk assessment and the use of family history and genetic testing to clarify genetic status for family members.

Individuals with CEP who avoid sunlight are at risk for vitamin D deficiency. We need long-term secure funding to provide you the information that you need at your fingertips. Iron profile on a regular basis to assess for iron overload for those who are transfusion dependent. Prevention of Primary Manifestations Strict avoidance of sunlight and protection from light are indicated.

Since coproporphyrinogen oxidase is specific for the III isomer, coproporphyrinogen I cannot be further metabolized to heme and is therefore non-physiologic. The biologic features of coproporphyria predominated during the first days of life.

The treatment of CEP is aimed at preventing scarring of skin and eyes, and treatment of the complications mentioned above. Pprphyria Gunther’s disease, porphyrins are accumulated in the teeth and bones and an increased amount are seen in the plasma, bone marrow, feces, red blood cells, and urine.


Successful bone marrow transplantation has been curative for patients now over 10 years post-transplantation. Molecular genetic testing approaches can include serial single- gene testinguse of a multigene paneland more comprehensive genomic testing. Treatment of Manifestations Cutaneous photosensitivity. Uroporphyrinogen III cosynthetase in bovine erythropoietic porphyria.

However, dermatologists and haematologists see most people with CEP and usually ask advice from a porphyria specialist centre that exist in most European countries.

Clinical description The disease most often manifests at birth with extreme cutaneous photosensitivity that is severe and mutilating. Surgical intervention may be indicated for severe mutilation repair of microstomia, correction of ectropion, reconstruction of the nose.

There are two major types of porphyria. University of Washington, Seattle ; Uroporphyrinogen III synthase knock-in mice have the human congenital erythropoietic porphyria phenotype, including the characteristic light-induced cutaneous lesions. In addition, porphyrin deposition also occurs in the spleen and to a lesser degree in cohgenital liver.

Dubin—Johnson syndrome Rotor syndrome. This may result in damage to tissues of internal organs, just like the skin blistering after exposure to bright light.