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Living with Porphyria cutanea tarda

A form of porphyria that mainly affects the skin, causing painful blisters on sun-exposed areas like the hands and face.

Understanding Porphyria cutanea tarda

Porphyria cutanea tarda (PCT) is a form of porphyria that mainly affects the skin.

People are sensitive to the sun and get painful blisters on sun-exposed skin such as the hands and face. Skin there may be fragile and blister or peel after minor injury. Hair growth can increase and the skin can darken and thicken. Liver problems can occur, and PCT is linked to a higher risk of liver scarring (cirrhosis) and liver cancer. It usually appears in adulthood.

Signs & symptoms

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

  • Painful blisters on sun-exposed skin
  • Sensitivity to sunlight
  • Fragile skin
  • Slow wound healing
  • Long-term liver inflammation
  • Pain

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. 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 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 factors might be contributing to my PCT?
Should my liver be checked, and how often?
How can I protect my skin from sun and injury?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant

In most cases PCT has several causes working together, such as multiple genes plus factors like excess iron, alcohol, estrogens, smoking, chronic hepatitis C, HIV and HFE gene changes. Less commonly it runs in families through changes in the UROD gene (autosomal dominant).

GeneticKidneyGastrointestinalSkinInherited Metabolic

Also known as: chp - cutaneous hepatic porphyria; cutaneous hepatic porphyria; pct; pct - porphyria cutanea tarda; porphyria cutanea tarda symptomatica; porphyria, hepatocutaneous type

Patient organizations

Source: NIH GARD · Porphyria cutanea tardaGARD ID 7433 · 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 Porphyria cutanea tarda.

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