oa Central African Journal of Medicine - Steroids -a possible indication in the treatment of Bantu porphyria

Volume 12, Issue 5
  • ISSN : 0008-9176



In this instance the patient was taken off his alcohol and at the same time given a course of steroid therapy. I doubt whether removal of the alcohol was the reason for his improvement as this measure did not appear to be effective in my other oases. And in any event we have met patients with the disease who deny having taken alcohol or drinking in excess and yet the lesions have continued to appear on the hands. I am not sure why steroids should assist, if indeed they really did, but, as many patients with Bantu porphyria show varying degrees of liver damage or even cirrhotic changes, it occurred to me that this was a good reason for employing them. Secondly as the skin is photosensitive in the disease the lesions may have an allergic basis.

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