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While inherited deficiencies in uroporphyrinogen decarboxylase often lead to the development of PCT, there are a number of risk factors that can both cause and exacerbate the symptoms of this disease.
One of the most common risk factors observed is infection with the Hepatitis C virus.
One review of a collection of PCT studies noted Hepatitis C infection in 50 % of documented cases of PCT.
Additional risk factors include alcohol abuse, excess iron, and exposure to chlorinated cyclic hydrocarbons and Agent Orange.

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