Refer to UpToDate for details of PCT diagnosis and treatment as well as assessment and treatment of iron overload.
In addition to the primary therapies listed above, all patients with PCT should receive:
- Skin protection from sun until lesions resolve.
- Pain control and infection prevention as needed.
- Counseling to avoid precipitating factors (smoking, alcohol, exogenous estrogens, supplemental iron).
- Consultation with an expert in cutaneous porphyrias.
- Opportunity for at-risk relatives to have genetic testing of UROD and/or HFE and to receive counseling as needed.