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Review Question - QID 212433

Porphyria Cutanea Tarda Introduction Autosomal dominant or sporadic defect in heme synthesis QID: 212433 (M1.OMB.18.4870)
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QID 212433 (Type "212433" in App Search)
A 28-year-old woman comes to the clinic complaining of recurrent blisters on her hands and face. She has always had these blisters, which eventually scar and heal, but decided to come in for further evaluation as there is an increased number this time. The patient just returned from a vacation in Greece where she sunbathed, visited tourist attractions, and ate the local food. She denies any fever, weight loss, chills, or joint pains but endorses some dark urine from time to time. Her hands are shown in Figure A. What is the pathophysiologic explanation of this patient’s symptoms?
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