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Xeroderma Pigmentosum

Also called: XP, Melanosis Lenticularis, Kaposi Disease

- Summary
- About xeroderma pigmentosum
- Types and differences
- Risk factors and causes
- Signs and symptoms
- Diagnosis methods
- Treatment options
- Prevention methods for complications
- Ongoing research
- Questions for your doctor

Reviewed By:
Kimberly Bazar, M.D., AAD

Summary

Xeroderma pigmentosum (XP) is a rare but serious inherited disease involving extreme sensitivity to sunlight (photosensitivity), specifically the sun’s ultraviolet (UV) rays. This sensitivity develops during the first few years of life.

Patients with XP typically experience painful and severe sunburns, even after minimal sun exposure. As the disease progresses the skin becomes excessively dry and rough with signs of premature aging.

Signs and symptoms of XP may include:

  • Skin atrophy (thinning)
  • Irregular dark spots (hyperpigmentation) 
  • Growths or tumors

Typically, the eyes of XP patients are also affected and often become irritated, bloodshot and clouded following exposure to UV radiation.

There is no cure for XP and the skin deterioration that occurs with the disease is cumulative and often irreversible. People with this condition often require lifelong protection from sunlight or ultraviolet radiation-emitting agents (e.g., mercury-vapor lamps). XP has severe life-threatening complications that may include:

  • Skin cancer
  • Cancerous tumors in the eyes and mouth area

Sometimes patients with XP may experience progressive neurological problems, including:

  • Developmental (learning) disabilities
  • Mental retardation
  • Hearing loss that may lead to deafness
Many people with XP begin developing multiple skin cancer tumors in childhood, and many of them die from skin cancer at an early age. However, if a person is diagnosed early, has no severe neurological complications, is protected from UV radiation and is regularly checked for early signs of skin cancer, a normal lifespan may be possible.

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Review Date: 02-08-2007

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