A case is presented of a 31-year-old white woman with necrotizing fasciitis. She had had a previous diagnosis of porphyria cutanea tarda that was manifested in part by bullous lesions on her forearms and hands. A soft tissue infection developed in her left hand and forearm in an area of bullous disease. After a delay of 8 days the diagnosis of necrotizing fasciitis was made. She recovered following surgical debridement, extensive fasciotomy, broad-spectrum antibiotic coverage, and hyperbaric oxygen therapy.
Kranz, Reed, Grimwood, , , , , , (1986). Necrotizing fasciitis associated with porphyria cutanea tarda. Journal of the American Academy of Dermatology, 1986 Feb;14(2 Pt 2):361-7. https://www.ncbi.nlm.nih.gov/pubmed/3950139