Our patient represents one of few females described with this syndrome, which is especially rare in association with lobular breast carcinoma. Further, the patient's presentation is unique as she was discovered to demonstrate laboratory findings consistent with coexistent porphyria cutanea tarda and relative zinc deficiency.
The community prevalence and impact of AI have not been well-studied. Establishment of a perineal clinic and an increase in resources may help educate women and expedite treatment for OASI.
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