Multinodular fatty change in the liver in patients with chronic hepatic porphyria

We present five cases of chronic hepatic porphyria (CHP) without skin lesio ns, in whom a multinodular fatty change in the liver was incidentally detec ted by ultrasound. Discovery prompted further examinations, leading to the diagnosis of CHP. Although relatively rare, the possibility of CHP must be considered when encountering patients with irregular (multinodular) fatty i nfiltration of the liver of unknown cause. We also discuss the differential diagnosis.