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Living with Familial porphyria cutanea tarda

A genetic metabolic condition in which sun-exposed skin becomes fragile and blisters, caused by changes in the UROD gene.

Understanding Familial porphyria cutanea tarda

Familial porphyria cutanea tarda (F-PCT) is a genetic metabolic condition caused by a change in the UROD gene.

The gene change limits how much heme is made, and porphyrins build up in the skin and liver. Not everyone develops symptoms. When they do, sun-exposed skin may be fragile and blister, and may get infected, scar, grow extra hair, or change color. Symptoms may worsen with alcohol, certain chemicals, hepatitis C or HIV, estrogen drugs, and high iron levels.

Signs & symptoms

GARD doesn't list a separate symptom list. Its summary describes:

  • Fragile skin in sun-exposed areas
  • Skin blisters
  • Skin infections and scarring
  • Extra hair growth
  • Skin color changes

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 digestive system specialists, genetic specialists, kidney specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in UROD are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    American Porphyria Foundation and United Porphyrias Association may keep lists of experts for this condition.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists); Kidney specialists (nephrologists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: American Porphyria Foundation, United Porphyrias Association
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
Which triggers should I talk with my doctor about avoiding?
Should I be tested for hepatitis C, HIV, or high iron?
Is genetic testing for the UROD gene right for my family?

Quick facts

InheritanceAutosomal Dominant
GenesUROD

Changes in the UROD gene cause it. It is autosomal dominant, which means a single changed copy of the gene is enough.

GeneticKidneyGastrointestinalSkinInherited Metabolic

Also known as: hereditary porphyria cutanea tarda; pct; pct (porphyria cutanea tarda) type ii; pct, ''familial'' type; pct, type ii; porphyria cutanea tarda type ii

Patient organizations

Source: NIH GARD · Familial porphyria cutanea tardaGARD ID 17750 · 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 Familial porphyria cutanea tarda.

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