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Area of Science:

  • Medical Genetics
  • Hematology
  • Epidemiology

Background:

  • Porphyria encompasses hereditary disorders of heme synthesis with diverse symptoms.
  • Common types include porphyria cutanea tarda, acute intermittent porphyria, and erythropoietic protoporphyria.

Purpose of the Study:

  • To determine the prevalence and incidence of porphyrias in Norway.
  • To describe the pathological manifestations, diagnostic delays, and follow-up routines for porphyria patients in Norway.

Main Methods:

  • Utilized data from the Norwegian Porphyria Centre (NAPOS) up to 2012.
  • Analyzed patient information from the Norwegian Porphyria Registry, covering 70% of NAPOS-registered individuals.

Main Results:

  • Prevalence: Porphyria cutanea tarda (approx. 10:100,000), Acute intermittent porphyria (approx. 4:100,000).
  • Total incidence of all porphyrias: approx. 0.5-1:100,000 annually.
  • Diagnostic delay ranged from 1-17 years; follow-up frequency varied significantly among patients.

Conclusions:

  • Porphyria cutanea tarda and acute intermittent porphyria prevalence in Norway exceeds that in most other countries.
  • The Norwegian Porphyria Registry data reveals disparities in treatment and follow-up, indicating areas for improvement.