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Xeroderma pigmentosum: an updated review.

Alexander Kc Leung1,2, Benjamin Barankin3, Joseph M Lam4,5

  • 1Department of Pediatrics, The University of Calgary, Calgary, Alberta, Canada.

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|May 6, 2022
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Summary

Early recognition and diagnosis of xeroderma pigmentosum (XP) are crucial. Rigorous sun protection and management significantly improve quality of life and life expectancy for XP patients.

Keywords:
conjunctival injectionconjunctival neovascularizationneurodegenerationphotophobiapoikilodermaskin cancersxeroderma pigmentosum

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Area of Science:

  • Genetics and DNA Repair
  • Dermatology
  • Ophthalmology
  • Neurology

Background:

  • Xeroderma pigmentosum (XP) involves impaired DNA repair of UV and oxidative damage, increasing skin cancer risk.
  • XP can manifest with photosensitivity, ocular, and neurological issues, varying by mutation.
  • Early identification of XP is vital to mitigate UV radiation's harmful effects.

Purpose of the Study:

  • To provide physicians with a comprehensive overview of xeroderma pigmentosum (XP).
  • To detail the clinical features, diagnostic approaches, and management strategies for XP.
  • To enhance awareness and understanding of this rare genetic disorder.

Main Methods:

  • A narrative review approach was employed.
  • PubMed Clinical Queries were searched using the term "xeroderma pigmentosum" in December 2021.
  • The search included clinical trials, observational studies, and reviews published within the last 10 years.

Main Results:

  • XP diagnosis relies on suspected clinical findings (photosensitivity, cutaneous, ocular, neurological) and confirmed biallelic gene mutations.
  • Management focuses on strict sun avoidance, protection, and early treatment of skin lesions.
  • Various treatments exist for actinic keratosis, skin cancer, poikiloderma, and ocular symptoms, with investigational therapies including gene therapy.

Conclusions:

  • While no cure exists for xeroderma pigmentosum (XP), early diagnosis and management are key.
  • Rigorous sun avoidance and protection are cornerstones of XP care.
  • Improved quality of life and life expectancy are achievable with timely intervention and optimal care.