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Living with Variegate porphyria

An inherited condition affecting how the body makes heme, which can cause sun-sensitive skin blisters and sudden attacks of stomach pain.

Understanding Variegate porphyria

Variegate porphyria is a genetic condition in which the body makes heme, a part of the blood protein that carries oxygen, in an abnormal way.

Symptoms usually begin in the teen years or adulthood and differ from person to person. Some people have sun-sensitive skin with blisters and sores. Some have sudden attacks of severe stomach pain, nausea, and vomiting. GARD notes that some people with the gene change never have symptoms.

Signs & symptoms

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

  • Sun-sensitive skin
  • Skin blisters and sores
  • Belly pain
  • Muscle weakness
  • Anxiety
  • Constipation

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 brain and nervous system specialists, digestive system specialists, genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in PPOX 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, United Porphyrias Association and The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Expert lists: American Porphyria Foundation, United Porphyrias Association, The Foundation for Peripheral Neuropathy
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
Could PPOX genetic testing confirm the diagnosis?
What blood and urine tests help us track this condition?
What should we know about sun protection and attacks?

Quick facts

Symptoms usually startTeenager and as an Adult
InheritanceAutosomal Dominant
GenesPPOX

Variegate porphyria is caused by changes in the PPOX gene. A child can get it from one parent with the changed gene (autosomal dominant).

GeneticNeurologicalKidneyGastrointestinalSkinInherited Metabolic

Also known as: dean-barnes syndrome; mixed porphyria; porphyria variegata; porphyria, south african type; ppox deficiency; protocoproporphyria

Patient organizations

Source: NIH GARD · Variegate porphyriaGARD ID 7848 · 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 Variegate porphyria.

Explore the Variegate porphyria blog

Explore research for Variegate porphyria

Explore actively recruiting Variegate porphyria studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Variegate porphyria with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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