Some patients with porphyria may develop a reddish coloration to the teeth, a condition termed erythrodontia.


Seen with: congenital erythropoietic porphyria (CEP), possibly hepatoerythropoietic porphyria (HEP)


Not seen with: erythropoietic protoporphyria


The teeth appear reddish brown in natural sunlight.


With long wavelength ultraviolet light the teeth fluoresce.


Differential diagnosis:

(1) wine stains (red)

(2) chewing tobacco (more brown)

(3) internal resorption (pink)


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