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Living with Hepatoerythropoietic porphyria

A rare inherited condition that causes extreme sun sensitivity and skin damage, usually starting in infancy.

Understanding Hepatoerythropoietic porphyria

Hepatoerythropoietic porphyria (HEP) is a rare inherited skin condition caused by a buildup of damaging chemicals in the body.

Symptoms usually begin in infancy. They include extreme sun sensitivity, extra body hair, discolored teeth, and anemia. Over time, people may lose skin or bone, or have scarring in sun-exposed areas. It is diagnosed from symptoms, an exam, and lab tests, and confirmed by genetic testing.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Severe sun sensitivity
  • Skin blisters
  • Fragile skin and scarring
  • Red-brown or purple urine
  • Red or discolored teeth
  • Patchy darker or lighter skin

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. 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
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
How can I best protect the skin from the sun?
Could genetic testing for the UROD gene confirm the diagnosis?
Which specialists should manage the skin and blood?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesUROD

It is caused by a UROD gene that is not working correctly. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticKidneySkinInherited Metabolic

Also known as: hep; homozygous porphyria cutanea tarda

Patient organizations

Source: NIH GARD · Hepatoerythropoietic porphyriaGARD ID 6169 · 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 Hepatoerythropoietic porphyria.

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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