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一名21岁男性着色性干皮病的眼部和皮肤表现:病例报告

Ophthalmic and Cutaneous Manifestation of Xeroderma Pigmentosum in a 21-Year-Old Man: A Case Report.

作者信息

Moreno Brian A, Lutwak Moises, Skopit Stanley

机构信息

Dermatology, Lake Erie College of Osteopathic Medicine, Bradenton, USA.

Dermatology, Larkin Community Hospital, South Miami, USA.

出版信息

Cureus. 2025 Jun 13;17(6):e85947. doi: 10.7759/cureus.85947. eCollection 2025 Jun.

DOI:10.7759/cureus.85947
PMID:40656405
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12256118/
Abstract

Xeroderma pigmentosum (XP) is a rare autosomal recessive disorder characterized by a defect in DNA repair, leading to marked sensitivity to ultraviolet (UV) light, an increased risk of cutaneous malignancies, and frequent ophthalmic complications. We present a 21-year-old man with a history of bilateral ocular melanomas and evolving cutaneous lesions suspicious for malignancy. This report highlights the clinical features, histopathologic considerations, and multidisciplinary management challenges in XP, underscoring the importance of vigilant surveillance, early intervention, and interdisciplinary care.

摘要

着色性干皮病(XP)是一种罕见的常染色体隐性疾病,其特征是DNA修复缺陷,导致对紫外线(UV)高度敏感、皮肤恶性肿瘤风险增加以及频繁出现眼部并发症。我们报告一名21岁男性,有双侧眼部黑色素瘤病史,且皮肤病变不断演变,怀疑为恶性肿瘤。本报告强调了XP的临床特征、组织病理学考量以及多学科管理挑战,突出了警惕性监测、早期干预和跨学科护理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b4/12256118/529cdc3523c5/cureus-0017-00000085947-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b4/12256118/9aaa906ce9c3/cureus-0017-00000085947-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b4/12256118/7a13adfc53cf/cureus-0017-00000085947-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b4/12256118/f73db7a781ce/cureus-0017-00000085947-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b4/12256118/d0888f73f50c/cureus-0017-00000085947-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b4/12256118/529cdc3523c5/cureus-0017-00000085947-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b4/12256118/9aaa906ce9c3/cureus-0017-00000085947-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b4/12256118/7a13adfc53cf/cureus-0017-00000085947-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b4/12256118/f73db7a781ce/cureus-0017-00000085947-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b4/12256118/d0888f73f50c/cureus-0017-00000085947-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b4/12256118/529cdc3523c5/cureus-0017-00000085947-i05.jpg

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本文引用的文献

1
Deep phenotyping of 89 xeroderma pigmentosum patients reveals unexpected heterogeneity dependent on the precise molecular defect.对89名着色性干皮病患者的深度表型分析揭示了取决于精确分子缺陷的意外异质性。
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2
Forty years of research on xeroderma pigmentosum at the US National Institutes of Health.美国国立卫生研究院对着色性干皮病长达四十年的研究。
Photochem Photobiol. 2015 Mar-Apr;91(2):452-9. doi: 10.1111/php.12345. Epub 2015 Jan 8.
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Corneal changes in xeroderma pigmentosum: a clinicopathologic report.
着色性干皮病的角膜改变:临床病理报告。
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Xeroderma pigmentosum.着色性干皮病。
Orphanet J Rare Dis. 2011 Nov 1;6:70. doi: 10.1186/1750-1172-6-70.
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Ophthalmic manifestations and histopathology of xeroderma pigmentosum: two clinicopathological cases and a review of the literature.着色性干皮病的眼部表现和组织病理学:两例临床病理病例及文献复习。
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Cancer and neurologic degeneration in xeroderma pigmentosum: long term follow-up characterises the role of DNA repair.着色性干皮病中的癌症和神经退行性变:长期随访描述了 DNA 修复的作用。
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Xeroderma pigmentosum. Cutaneous, ocular, and neurologic abnormalities in 830 published cases.着色性干皮病。830例已发表病例中的皮肤、眼部及神经异常。
Arch Dermatol. 1987 Feb;123(2):241-50. doi: 10.1001/archderm.123.2.241.