Patients with Xeroderma pigmentosum suffer from acute sun sensitivity (severe sunburn with blistering and persistent erythema after minimal sun exposure) with progressive face pigmentation freckles (evident before two years old). Consequently, they present a very high risk of skin neoplasms induced by sunlight (basal cell carcinoma, squamous cell carcinoma, melanoma) in the first decade of life and also ocular involvement induced by sunlight (photophobia, keratitis, atrophy of the skin of the eyelids).
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