Merck Manual

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Erythropoietic Protoporphyria
Erythropoietic Protoporphyria (Lichenification)
Erythropoietic Protoporphyria

This photo shows rough, thickened, and leathery skin on the hand of a person who has erythropoietic protoporphyria.

By permission of the publisher. From Bloomer J, Risheg H. In Gastroenterology and Hepatology: Liver. Edited by M Feldman (series editor) and WC Maddrey. Philadelphia, Current Medicine, 2004.