Erythropoietic porphyria (EP) is a rare inborn error of porphyrin-heme synthesis inherited that is as an autosomal recessive trait. Congenital erythropoietic porphyria (CEP; OMIM #, also called G√ľnther disease) is a rare, autosomal recessive porphyria. It results from. Gunther disease, also known as congenital erythropoietic porphyria (CEP), uroporphyrinogen III synthase deficiency and UROS deficiency, is a congenital form.

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Skin photosensitivity with blistering, fragility, hypertrichosis of the face, and erythrodontia developed. What are the features of CEP?

Gunther disease

Prenatal and preimplantation genetic diagnoses are congential for subsequent pregnancies in CEP families. Blisters affecting whole body may be present in neonatal period Oral involvement Corneal erosions. Congenital erythropoietic porphyria is inherited as an autosomal recessive genetic condition.

In the patient reported by Murphy et al. Uroporphyrinogen Cngenital cosynthetase is expressed in cultured porphhria cells so that prenatal diagnosis is possible Deybach et al. Congenital erythropoietic porphyria Gunther’s disease: Stenson et al [].

Together we are strong. Since the chromosomal assignment and molecular genetics of congenital erythropoietic porphyria have been determined, prenatal diagnosis by genetic analysis is possible Lim and Cohen, You can help by adding to it. Pathogenic loss-of-function variants include missense and nonsense variants and small deletions and insertions Table 4. CC ]. We need long-term secure funding to provide you the information that you need at your fingertips.

Congenital erythropoietic porphyria (CEP)

This section is not meant to address all personal, cultural, or ethical issues that individuals may face or to substitute for consultation with a genetics professional. EBS caused by pathogenic variants in KRT5 or KRT14 is usually inherited in an autosomal dominant manner; in congenitap families, especially those erythroloietic consanguinityit can be inherited in an autosomal recessive manner.


Congenital erythropoietic porphyria CEP should be suspected in individuals with the following clinical and laboratory findings.

After exposure to light, the photo-activated porphyrins in the skin cause bullae blistering and cognenital fluid-filled sacs rupture, and the lesions often get infected.

The phenotypic spectrum, however, is broad and ranges from non-immune hydrops fetalis in utero to late-onset disease with only mild cutaneous manifestations in adulthood.

Uroporphyrinogen III cosynthetase in asymptomatic carriers of congenital erythropoietic porphyria. GlySer Pathogenic variants in the erythroid-specific promoter region c. It is appropriate to offer genetic counseling including discussion of potential risks to offspring and reproductive options to young adults who are affectedare carriers, or are at risk of being carriers.

What other precautions do CEP patients need to take? Effective gene therapy of mice with congenital erythropoietic porphyria is facilitated by a survival advantage of corrected erythroid cells.

Gunther disease – Wikipedia

Successful gene therapy of mice with congenital erythropoietic porphyria. J Am Acad Dermatol. Treatment of congenital erythropoietic porphyria in children by allogeneic stem cell transplantation: BMT is currently reserved for those severely affected individuals who have a matched bone marrow donor. See Molecular Genetics for information on allelic variants detected in this gene.


Measurements of subnormal red cell uroporphyrinogen decarboxylase activity and urinary, fecal, and erythrpooietic porphyrin analyses in this patient and his 7 children indicated classic features of familial porphyria cutanea tarda Dystrophic nails possibly the only manifestation. However, individuals with porphyria cutanea tarda may develop skin lesions, and these lesions resemble the skin lesions found in CEP.


After exposure to light, the skin may become itchy and red. As CEP is a very rare condition, most general practitioners will have little experience of the condition. Lentivirus-mediated transfer of the human UROS cDNA into hematopoietic stem cells HSCs from the mouse model Uros mut resulted in a complete and long-term enzymatic, metabolic, and phenotypic correction of the disease, favored by a survival advantage of corrected red blood cells.

GeneReviews staff have not independently verified the classification of variants.

In those receiving transfusions: News and articles Systemic messenger RNA as an etiological treatment for acute intermittent porphyria. Inducing iron deficiency improves erythropoiesis and photosensitivity in congenital erythropoieric porphyria.

Andrews’ Diseases of the Skin: Transmission is autosomal recessive. In severely affected patients, anemia may be present in the fetus.

The hands, arms, and face are the most commonly affected areas. Porphyrins additionally accumulate in the bone and teeth, resulting in erythrodontia.

CEP is inherited as an autosomal recessive genetic disorder. Incandescent bulbs replace the normal fluorescent lamps. Vitamin D OH levels in all patients whether or not they are receiving vitamin D erythropoietoc. Pregnancy Management Successful pregnancies in women with CEP resulting in healthy and unaffected children have been described [ Hallai et alKatugampola et al b ].

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