“…While variegate porphyria is a relatively common condition in South Africa, as a result of a classic founder effect arising from a Dutch immigrant in the 1600s, 30,31 EPP does occur, but at a much lower frequency. Indeed, the disease has been described in a few case reports 32–37 . This study is the first to assemble a cohort of all South African subjects known by our Centre to have EPP, and to investigate their disease at a molecular level.…”