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Living with Erythropoietic protoporphyria

A rare condition present from birth that causes painful skin reactions to sunlight.

Understanding Erythropoietic protoporphyria

Erythropoietic protoporphyria is a rare metabolic disease that affects how the body makes heme, a part of hemoglobin in red blood cells.

It is present from birth. Because the body cannot make heme properly, people can have severe skin reactions to sunlight (photosensitivity), with blisters and scars on skin exposed to sun. Other signs can include reddish-brown teeth, red urine, breakdown of red blood cells (hemolytic anemia), and an enlarged spleen.

Signs & symptoms

GARD doesn't list specific symptoms here. Its summary describes:

  • Severe skin reaction to sunlight (photosensitivity)
  • Blisters and scars on sun-exposed skin
  • Reddish-brown teeth
  • Red-colored urine
  • Breakdown of red blood cells (hemolytic anemia)
  • Enlarged spleen

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists, kidney specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    American Porphyria Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: American Porphyria Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with American Porphyria Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How can I protect my skin from sunlight?
Can genetic testing confirm this diagnosis?
How often should I be checked for anemia or an enlarged spleen?

Quick facts

Changes in genes cause this condition, which affects how the body makes heme. GARD does not name the gene here.

GeneticKidneySkinInherited Metabolic

Also known as: epp; epp - erythropoietic protoporphyria; epp (erythropoietic protoporphyria porphyria); erythrohepatic protoporphyria; magnus syndrome; protoporphyria

Patient organizations

Source: NIH GARD · Erythropoietic protoporphyriaGARD ID 7476 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Erythropoietic protoporphyria.

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