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2.1
Xeroderma
Xerodermas

Images

WIKIDATA, CC BY-SA 3.0
WIKIDATA, CC0 1.0

Presentation

The lid lesion had been present for the last one month. The disease had been present for past five years with polymorphous, erythematous lesions all over the body. [ncbi.nlm.nih.gov]

Here, we report a rare type XP E present in siblings. [cdriadvlkn.org]

This is an interesting report about XP in twins with the presentation of the rare neoplasm lentigo maligna. [tandfonline.com]

JoOrgel Mg Medicine 1985 The authors present a 46-year-old patient with proven xeroderma pigmentosum who manifests many characteristic features of this affliction and may be one of the oldest, if not the largest, living survivor of this unusual disease [semanticscholar.org]

Entire Body System

  • Lymphedema

    […] bullosa Q81.0 Epidermolysis bullosa simplex Q81.1 Epidermolysis bullosa letalis Q81.2 Epidermolysis bullosa dystrophica Q81.8 Other epidermolysis bullosa Q81.9 Epidermolysis bullosa, unspecified Q82 Other congenital malformations of skin Q82.0 Hereditary lymphedema [icd10data.com]

  • Pathologist

    […] villus sampling is a procedure performed to identify any genetic abnormality in the fetus Tests used to diagnose Xeroderma Pigmentosa after birth may include: Skin biopsy: A small sample of skin tissue is taken and examined under a microscope by the pathologist [dovemed.com]

Eyes

  • Photophobia

    On ophthalmological examination, both had photophobia and decreased visual acuity. Since birth, several excisions had been performed for skin neoplasms. [tandfonline.com]

    Among the ocular features, 50% of patients presented with photophobia. Lid freckles or atrophic skin lesions were seen in all patients. [bjo.bmj.com]

    Early ocular findings include conjunctival erythema, photophobia, pterygium, and corneal clouding [8]. [eyewiki.aao.org]

    Ocular symptoms include photophobia, opacities, and tumors. It is inherited as an autosomal recessive trait involving a defect in the enzymes active in the repair of DNA damaged by ultraviolet irradiation. [medical-dictionary.thefreedictionary.com]

Musculoskeletal

  • Small Head

    There are several subtypes of COFS all of which are characterized by progressive neurologic disorder, microcephaly (small head) with intracranial calcifications, prominent noses, large ears, hypotonia, and growth failure. [themedicalbiochemistrypage.org]

    Neurological symptoms of De Sanctis-Cacchione syndrome and some XP subtypes can include: slow or no reflexes poor motor skills small head size (microcephaly) developmental delays muscle rigidity, spasticity, or weakness poor control of bodily movement [healthline.com]

Skin

  • Freckles

    It begins in childhood and progresses to early development of excessive freckling, telangiectases, keratoses, papillomas, carcinoma, and melanoma. Ocular symptoms include photophobia, opacities, and tumors. [medical-dictionary.thefreedictionary.com]

    Her skin was freckled, with hypopigmented and hyperpigmented areas (poikilodermia) typical of xeroderma pigmentosa. The tumors on the conjunctiva of the right eye and the lower eyelid of the left eye appeared to be squamous cell carcinomas. [ncbi.nlm.nih.gov]

    Symptoms Can Include: Dry skin Scaly skin Spider Veins Corneal ulcerations Irregular dark spots on the skin Limited growth of hair on chest and legs Development of many freckles at an early age Blistering or freckling on minimum sun exposure Rough-surfaced [disabled-world.com]

    Characterized by dwarfism and beaked nose but will lack key features of XP including freckling and skin cancer. Rothmund-Thomson syndrome – Photosensitivity with poikiloderma. Will lack freckling and skin cancer as seen in XP. [visualdx.com]

  • Dry Skin

    As a preventive measure, such products may be rubbed onto the affected area as needed (often every other day) to prevent dry skin. The skin is then patted dry to prevent removal of natural lipids from the skin. [en.wikipedia.org]

    Rubbing or scratching dry skin can lead to infection and scarring. A doctor's examination of the skin Doctors diagnose dry skin when they see dry, mildly to moderately scaly skin that comes off in small flakes. [msdmanuals.com]

    Xeroderma literally means dry skin (Greek-xeros meaning dry and the Greek-derma meaning skin = dry skin.) Xeroderma is a very common condition. [empowher.com]

    Dry skin occurs when your skin loses too much water and oil. Dry skin is common and can affect anyone at any age. The medical term for dry skin is xerosis. [nlm.nih.gov]

    Convert to ICD-10-CM : 706.8 converts approximately to: 2015/16 ICD-10-CM L85.3 Xerosis cutis Approximate Synonyms Absent sebaceous gland activity Asteatosis cutis Asteatotic eczema Dry skin Hyperplasia of sebaceous gland Sebaceous gland duct dilatation [icd9data.com]

  • Dermatitis

    […] form of ichthyosis characterized by excessive dryness of the skin due to slight thickening of the horny layer and diminished water content of the stratum corneum from decreased perspiration or exposure to wind, or low humidity; seen with aging, atopic dermatitis [medical-dictionary.thefreedictionary.com]

    Patients who develop hand dermatitis sometimes require topical corticosteroids to decrease inflammation and maintain the skin barrier. NOTE: This is the Professional Version. [msdmanuals.com]

    Patients who develop hand dermatitis sometimes require topical corticosteroids to decrease inflammation and maintain the skin barrier. [merckmanuals.com]

    Add to cart 41% Add to wishlist URIAGE Pruriced Creme Apaisante, 100ml Available 14,70 € 8,71 € Face & Body Lotion for treating pruritus of atopic dermatitis, dermatititda by contact, exfoliative dermatitis, herpes zoster. [ofarmakopoiosmou.gr]

  • Skin Disease

    Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 5th ed. Philadelphia, PA: Elsevier, 2018:chap 258. Pierwola KK, Patel GA, Lambert WC, Schwartz RA. Skin disease and old age. In: Fillit HM, Rockwood K, Young J, eds. [nlm.nih.gov]

    […] of Arthritis, Musculoskeletal, and Skin Diseases, Bethesda, Md. [nejm.org]

    diseases characterised by dry hard scaly skin, especially ichthyosis. (13 of 15 words) en.wiktionary.org/wiki/xeroderma [memidex.com]

    Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 4th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 249. Updated by: David L. [medlineplus.gov]

    It works for the improvement of health care for people with skin disease; educates and informs the public and others about skin diseases and their treatment; and supports other organisations to pursue these objectives. [bmj.com]

  • Eruptions

    Some substances that can cause skin eruptions are antipyrin, arsenic, boric acid, luminal, mercury, Midol, pantopon, salicylic acid, and tar. Toxics in the blood also cause skin eruptions. [books.google.ro]

    Específic xeroderma pigmentosum, xerodèrmia pigmentada A rare genetic condition characterized by an eruption of exposed skin occurring in childhood and photosensitivity with severe sunburn [hyperdic.net]

    Synonyms: xeroderma Types: xeroderma pigmentosum a rare genetic condition characterized by an eruption of exposed skin occurring in childhood and photosensitivity with severe sunburn; inherited as a recessive autosomal trait in which DNA repair processes [vocabulary.com]

    […] roughness of the skin (noun.state) hypernym : ichthyosis, definition : any of several congenital diseases in which the skin is dry and scaly like a fish (noun.state) hyponym : xeroderma pigmentosum, definition : a rare genetic condition characterized by an eruption [sinonimkata.com]

Neurologic

  • Irritability

    Suitable for irritated skin. Moisturizes dry & irritated skin, softens & nourishes chapped skin. [ofarmakopoiosmou.gr]

    Some irritation is normal for the skin; certain slight anomalies render the skin vulnerable. Some physical and chemical irritants can excite an otherwise normal skin. [books.google.ro]

    Harsh soaps, detergents, and the perfumes in some moisturizers irritate the skin and may further dry it. NOTE: This is the Consumer Version. [msdmanuals.com]

    Individuals may also experience ocular symptoms, specifically eye irritation, corneal clouding, and impaired vision, as well as neurological symptoms, including hearing loss, poor coordination, difficulty walking, difficulty swallowing, and seizures. [sema4.com]

  • Ataxia

    Central among these is ataxia telangiectasia and Rad3-related (ATR), a protein kinase involved in intracellular signaling in response to DNA damage, especially DNA damage-induced replicative stresses. [ncbi.nlm.nih.gov]

    Patient 2 A 52-year-old woman of Ashkenazi Jewish descent presented with a 20-year history of progressive dystonia, gait ataxia, hearing loss, and worsening cognition. [ng.neurology.org]

    […] with defective DNA repair 2016 2017 2018 2019 Billable/Specific Code Applicable To Ataxia telangiectasia [Louis-Bar] Type 2 Excludes Cockayne's syndrome ( Q87.1 ) other disorders of purine and pyrimidine metabolism ( E79.- ) xeroderma pigmentosum ( Q82.1 [icd10data.com]

    The problems include microcephaly, spasticity, hyporeflexia or areflexia, ataxia, chorea, motor neuron signs or segmental demyelination, sensorineural deafness, supranuclear ophthalmoplegia, and mental retardation. [aocd.org]

    […] generally develop into skin cancer, and also develop characteristic CS manifestations such as microcephaly, hydrocephalus, cachexia, premature aging, dwarfism, skin atrophy, arteriosclerosis, progressive hearing loss, cognitive deficit, spasticity, ataxia [orpha.net]

  • Poor Coordination

    Individuals may also experience ocular symptoms, specifically eye irritation, corneal clouding, and impaired vision, as well as neurological symptoms, including hearing loss, poor coordination, difficulty walking, difficulty swallowing, and seizures. [sema4.com]

    About one in every five XP patients also develops one or more of the following problems: blindness, deafness, mental retardation, poor coordination, spasticity, or retarded physical growth. The life span of XP patients varies. [lesvampires.org]

    coordination spastic muscles a smaller-than-normal head (called microcephaly) intellectual impairment that gets worse over time seizures Nervous system symptoms may be present in infancy, or they may not appear until late childhood or adolescence. [verywell.com]

    These can be mild or severe and include spasticity, poor coordination, developmental delay, deafness, and short stature. May develop in late childhood or adolescence. Once they do occur, they tend to worsen over time. [dermnetnz.org]

  • Chorea

    On neurologic examination, she demonstrated mild chorea of her extremities and face, limb ataxia, absent ankle reflexes, and impaired gait. She had 1 sibling with MS but no other similarly affected relatives (figure 1B). [ng.neurology.org]

    The problems include microcephaly, spasticity, hyporeflexia or areflexia, ataxia, chorea, motor neuron signs or segmental demyelination, sensorineural deafness, supranuclear ophthalmoplegia, and mental retardation. [aocd.org]

    Other neurological deficits include nerve deafness (high-frequency hearing loss), microcephaly, abnormal motor activity (spasticity, ataxia, chorea, spasticity, difficulty swallowing) and progressive neural degeneration. [dermatologyadvisor.com]

Treatment

Here with, we are reporting a case of carcinoma esophagus with XP, who tolerated the treatment well with sufficiently prolonged palliation of symptoms, after treatment with external beam radiotherapy. [ncbi.nlm.nih.gov]

Types & treatments Childhood eczema Adult eczema Insider secrets Types of hair loss Treatment for hair loss Causes of hair loss Hair care matters Insider secrets What is psoriasis Diagnosis & treatment Skin, hair & nail care Triggers Insider secrets What [aad.org]

Before, during, and after treatment, biopsies of all suspicious lesions were performed, and skin cancers were surgically removed. The patients had a total of 121 tumors (mean, 24; range, 8 to 43) in the two-year interval before treatment. [nejm.org]

The cutaneous reaction of the treated areas was similar to that seen during the treatment of actinic keratoses with FU. [jamanetwork.com]

Prognosis

Prognosis The prognosis varies with the severity of the genetic disorder, the success in avoiding UV light and vigilance of screening. [patient.info]

Prognosis There is no cure for XP but sun avoidance and regular follow-up to assess and treat any skin cancers increases life expectancy. For those with no neurological disease and rigorous UV protection, the prognosis is good. [orpha.net]

(Outcomes/Resolutions) Xeroderma Pigmentosa is an inherited genetic disorder with a poor prognosis. [dovemed.com]

What is the prognosis for a person with Xeroderma Pigmentosum Group A? The prognosis for an individual with XPA is generally poor due to early onset of symptoms and severity of features. [myriad.com]

Etiology

Etiology Affected individuals have mutations in one of three XP genes: ERCC3 (2q21), ERCC2 (19q13.3), or ERCC5 (13q22-q34). [orpha.net]

Sections Continuing Education Activity Introduction Etiology Epidemiology History and Physical Evaluation Treatment / Management Differential Diagnosis Prognosis Complications Deterrence and Patient Education Enhancing Healthcare Team Outcomes Review [pubmed.ncbi.nlm.nih.gov]

Epidemiology

Summary Epidemiology Less than 30 cases have been described to date. Clinical description The disease manifests during infancy. [orpha.net]

For controls we will compare XP heterozygotes to their non-carrier blood relatives and spouses and to the Surveillance, Epidemiology and End Results (SEER) rates. [clinicaltrials.gov]

Sections Continuing Education Activity Introduction Etiology Epidemiology History and Physical Evaluation Treatment / Management Differential Diagnosis Prognosis Complications Deterrence and Patient Education Enhancing Healthcare Team Outcomes Review [pubmed.ncbi.nlm.nih.gov]

Pathophysiology

Further studies over the next several decades highlighted the importance of severe photosensitivity in the pathophysiology of xeroderma pigmentosum. In the 1960s, Dr. [pubmed.ncbi.nlm.nih.gov]

Pathophysiology There are eight genetic groups of XP with differing symptoms and severity, each resulting from mutations in proteins with roles in repairing DNA damaged by UV radiation. [eyewiki.aao.org]

[…] is characterized by photosensitivity, pigmentary changes, premature skin aging, and malignant tumor development. [2] These manifestations are due to a cellular hypersensitivity to ultraviolet (UV) radiation resulting from a defect in DNA repair. [3] Pathophysiology [emedicine.medscape.com]

Etiology Pathophysiology XP is an autosomal recessive disease characterized by defective nucleotide excision repair (XP-A to XP-G) or post-replication repair (XP-variant). Each type of XP is characterized by a specific gene mutation. [dermatologyadvisor.com]

Prevention

As a preventive measure, such products may be rubbed onto the affected area as needed (often every other day) to prevent dry skin. The skin is then patted dry to prevent removal of natural lipids from the skin. [en.wikipedia.org]

A complete protection from sunlight is the most effective measure to prevent progression of the condition Nevertheless, the prognosis of Xeroderma Pigmentosa is poor. [dovemed.com]

Dermatologist-approved lesson plans, activities you can use Free to everyone, these materials teach young people about common skin conditions, which can prevent misunderstanding and bullying. [aad.org]

Sun protection can help prevent skin cancer, which makes it beneficial for everybody. Improving the Outlook Presently, XP has no cure. Skin cancer at an early age is common in many people with XP. [mohsdermhouston.com]

The disease has served as a model for photoaging and UV radiation-induced cancer and has led to a better understanding of cell processes that prevent development of these disease features in normal individuals. [read.qxmd.com]

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