hormonal and metabolic disorders
Erythropoietic Protoporphyria and X Linked Protoporphyria
Treatment
Relief of symptoms of attacks Treat gallstones and liver problems Acute skin symptoms may be alleviated by cold baths or wet towels, analgesics, and topical and/or oral corticosteroids. Symptoms can take up to a week to resolve. If these measures are ineffective, doctors sometimes give heme and/or blood transfusions. Several other medications such asafamelanotide, bile acids,cholestyramineresin, and charcoal are also effective. People who develop gallstones that contain protoporphyrin and develop symptoms of cholecystitis (inflammation of the gallbladder wall) may need to have the gallbladder surgically removed. Porphyrin accumulation in red blood cells and the condition of the liver should be monitored yearly by testing blood, urine, and stool samples. Vaccination against hepatitis A and B may help prevent liver damage. Liver damage, if severe, may necessitate Liver Transplantation . Because sunlight provides neededvitamin Dand people with erythropoietic protoporphyria or X-linked protoporphyria avoid sunlight, they may need to takevitamin Dsupplements to preventvitamin Ddeficiency. Stem Cell Transplantation may cure erythropoietic protoporphyria, but it is not usually done because the 