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GROUP 4
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XERODERMA PIGMENTOSUM
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INTRODUCTION
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Xeroderma pigmentosum, or XP,
is an autosomal recessive genetic disorder of DNA repair in which the ability to repair damage caused by ultraviolet (UV) light is deficient.
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NORMAL CONDITION without XP
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Exposure to UV light Thymine dimer No replicating DNA strand
DNA DAMAGES Exposure to UV light Thymine dimer No replicating DNA strand
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Nucleotide excision repair
REPAIR SYSTEM Nucleotide excision repair Recognization Unwinding Cleavage Filling Sealing
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ABNORMAL
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NUCLEOTIDE EXCISION REPAIR
Uvr-ABC excinuclease DNA Polymerase DNA Ligase skin GENE
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SKIN UV The POL H gene (encoded DNA polymerase eta (Pol η))
Xeroderma pigmentosum protecting cells from UV thatinduced DNA damage fix DNA damage
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Type of XP & inherited mutation gene
Type A, I, XPA Type E, V, XPE Type B, II, XPB Type F, VI, XPF Type of XP & inherited mutation gene Type C, III, XPC Type G, VII, XPG Type D, IV, XPD Type V, XPV
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autosomal recessive genetic disorder of DNA repair
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Signs and Symptoms of Xeroderma Pigmentosum
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Severe sunburn when exposed to small amounts of sunlight
Severe sunburn when exposed to small amounts of sunlight. These often occur during a child's first exposure to sunlight. Development of many freckles at an early age Skin Cancer Eyes that are painfully sensitive to the sun and may easily become irritated and bloodshot
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Blistering on minimum sun exposure
Spidery blood vessels Scaly and dry skin Irregular dark spots on the skin
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Bloodshot freckles blister blister Scaly skin
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DIAGNOSIS Usually detected in early infancy 1-2 years
Clue to diagnosis - severe sunburn after first exposure to the sunlight The diagnosis of XP is made on the basis of clinical findings and family history The diagnosis of XP is based on skin, eye, and nervous system XP can be diagnosed by measuring the DNA repair factor from skin or blood sample
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Prompt removal of cancerous tissue
B L E Treatment For XP Protection from UV Eye and skin exam Prompt removal of cancerous tissue Neurological exam Psychososial care
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PrOGNOsi$ *Many patients die at an early age from skin cancers.but,if a person is diagnosed early, does not have severe neurological symptoms and takes all the precautionary measures to avoid exposure to UV light, they may survive beyond middle age. < 40% of individuals with the disease survive beyond age 20. Some with less severe cases manage to live well into their 40s
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CONCLUSION
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THANK YOU
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