The Nephron journals/Nephron journals · 2008 · 16 citations · 0 references
MedicineHematologyNephrologyDialysisHemodialysisIron Metabolism DisordersAnemiaAnemia Management In HemodialysisIron Chelation TherapyIron DeficiencyIron Overload ManagementUremia ManagementAnemia Management In DialysisAnemia Management In UremiaBiochemical Trait ImprovementClinical RemissionIron Overload PathophysiologyMetabolic PorphyriasPhlebotomy TherapyPorphyria Cutanea Tarda
Phlebotomy is generally thought to be contraindicated in porphyria cutanea tarda (PTC) associated with hemodialysis for the anemia which is often present in uremic patients. We report a patient with a severe form of hemodialysis-related PTC and biochemical parameters suggestive of iron overload in whom treatment with small repeated phlebotomies was well tolerated without any significant worsening of the anemia and gave marked biochemical improvement and complete clinical remission.