Alternative titles and symbols : Heme synthetase deficiency; Ferrochelatase deficiency; Erythrohepatic protoporphyria; Protoporphyria, erythropoietic; EPP;
Description : Erythropoietic protoporphyria is an inborn error of porphyrin metabolism caused by
decreased activity of the enzyme ferrochelatase, the terminal enzyme of the heme biosynthetic
pathway, which catalyzes the insertion of iron into protoporphyrin to form heme. EPP
is characterized clinically by photosensitivity to visible light commencing in childhood,
and biochemically by elevated red cell protoporphyrin levels (Todd, 1994).;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the ferrochelatase gene (FECH, 612386.0001);
Laboratory abnormalities : Mild hypertriglyceridemia; Fluorescence of red blood cells by UV microscopy; Excess protoporphyrin in bile and feces but not in urine; Reduced ferrochelatase activity;