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[Solved]: Case #11 A 58 -year-old man with a history of…

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Case #11 A 58 -year-old man with a history of alcoholism complained of increased skin fragility and skin lesion formation on his hands, forehead, neck and ears on exposure to the sun. Also noted on physical examination was hyperpigmentation and hypertrichosis. Laboratory findings showed an increase in urinary uroporphyrin and a slight increase in coproporphyrin, with normal levels of ALA and porphobilinopen. Coproporphyrin was elevated in the stoot. Serum ferritin and serum transaminase were increased Gase all Gerstions What is the most probable diagosis? What are the probable precipitating factors? How is this case differentiated from the conqenital deficiency of this enryme?

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