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The exact mechanism causing porphyria in this patient is not clear. We consider the possibility that in addition to iron accumulation and excess alcohol, altered steroid milieu may have been a possible trigger for the development of bullous lesions in this patient.<\/jats:p>","DOI":"10.1258\/acb.2011.011170","type":"journal-article","created":{"date-parts":[[2012,7,10]],"date-time":"2012-07-10T23:50:14Z","timestamp":1341964214000},"page":"500-502","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Non-classical congenital adrenal hyperplasia in association with porphyria cutanea tarda: co-incidence or trigger?"],"prefix":"10.1177","volume":"49","author":[{"given":"Mamatha","family":"Ramaswamy","sequence":"first","affiliation":[{"name":"Department of Chemical Pathology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell","family":"Ead","sequence":"additional","affiliation":[{"name":"Department of Dermatology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Buckler","sequence":"additional","affiliation":[{"name":"Department of Endocrinology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Houghton","sequence":"additional","affiliation":[{"name":"Department of Hematology, Salford Royal NHS Foundation Trust, Salford M6 8HD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Felicity","family":"Stewart","sequence":"additional","affiliation":[{"name":"Department of Chemical Pathology"},{"name":"University of Manchester, Manchester Academic Health Sciences Centre, Manchester M13 9PL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,7,10]]},"reference":[{"key":"bibr-ACB-11-170C1","unstructured":"SassaS. Porphyria cutanea tarda, hepatoerythropoietic porphyria, and toxic porphyria.\n                      Uptodate online\n                      2009; version 17.3. See http:\/\/www.uptodate.com\/contents\/porphyria-cutanea-tarda-and-hepatoerythropoietic-porphyria?source=search_result&search=porphyria&selectedTitle=4%7E150 (last checked 21 May 2012)"},{"key":"bibr-ACB-11-170C2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-711X(84)90134-4"},{"key":"bibr-ACB-11-170C3","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.0700547104"},{"key":"bibr-ACB-11-170C4","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/35.2.109"},{"key":"bibr-ACB-11-170C5","doi-asserted-by":"publisher","DOI":"10.1002\/hep.22507"},{"key":"bibr-ACB-11-170C6","doi-asserted-by":"publisher","DOI":"10.1182\/blood.V95.5.1565.005k42_1565_1571"},{"key":"bibr-ACB-11-170C7","doi-asserted-by":"publisher","DOI":"10.1002\/hep.510250129"},{"key":"bibr-ACB-11-170C8","first-page":"845","volume":"48","author":"Cruz-Rojo J","year":"2002","journal-title":"Cell Mol Biol"},{"key":"bibr-ACB-11-170C9","doi-asserted-by":"publisher","DOI":"10.1177\/014107688908200218"},{"key":"bibr-ACB-11-170C10","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9258(18)99497-4"},{"key":"bibr-ACB-11-170C11","first-page":"241","volume":"5","author":"Christakoudi S","year":"2003","journal-title":"Endocrine Abstracts"}],"container-title":["Annals of Clinical Biochemistry: International Journal of Laboratory Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/acb.2011.011170","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1258\/acb.2011.011170","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/acb.2011.011170","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:56:54Z","timestamp":1777377414000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/acb.2011.011170"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7,10]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["10.1258\/acb.2011.011170"],"URL":"https:\/\/doi.org\/10.1258\/acb.2011.011170","relation":{},"ISSN":["0004-5632","1758-1001"],"issn-type":[{"value":"0004-5632","type":"print"},{"value":"1758-1001","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,7,10]]}}}