Hepatitis C virus has been implicated as a major precipitating factor
in porphyria cutanea tarda (PCT). To determine whether hepatitis C inf
ection alone is sufficient to induce PCT, we screened two groups of pa
tients with hepatitis C infection. The first group comprised women who
had become HCV positive secondary to immunization with anti-D immunog
lobulin (group 1). Group 2 included males and females who were HCV pos
itive but HIV negative secondary to intravenous drug abuse. Though bot
h groups had very abnormal Liver function tests, we found no significa
nt abnormalities in porphyrin metabolism in these groups of patients.
Therefore, in this study population, we conclude that HCV infection al
one is insufficient to cause porphyrin metabolic derangement.