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Living with Xeroderma pigmentosum

An inherited condition with extreme sensitivity to sunlight and other ultraviolet light, mainly affecting the skin and eyes.

Understanding Xeroderma pigmentosum

Xeroderma pigmentosum (XP) is an inherited condition with extreme sensitivity to ultraviolet (UV) light from sunlight and some artificial lights.

XP mostly affects the eyes and sun-exposed skin. It raises the risk of skin cancers caused by UV light. Signs usually appear in infancy or early childhood, such as severe sunburn after a few minutes in the sun, and freckling by age 2. Some people also have nervous system problems.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Severe sunburn with redness and blisters
  • Freckling in sun-exposed skin
  • Dry skin and changes in skin color
  • Eye problems such as cataract and keratitis
  • Skin cancers, including melanoma
  • Learning or thinking difficulties

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, cancer specialists, eye disease specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    National Ataxia Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Cancer specialists (oncologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: National Ataxia Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Xeroderma Pigmentosum Society and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How can we protect skin and eyes from UV light at home and school?
How often should skin and eye exams happen?
Could genetic testing show which type of XP this is?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive

GARD says this condition is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent. It doesn't list a specific gene here.

GeneticNeurologicalSkin

Also known as: angioma pigmentosum atrophicum; atrophoderma pigmentosum; kaposi dermatosis; kaposi disease; melanosis lenticularis progressiva; pigmented epitheliomatosis

Patient organizations

Source: NIH GARD · Xeroderma pigmentosumGARD ID 7910 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Xeroderma pigmentosum.

Explore the Xeroderma pigmentosum blog

Explore research for Xeroderma pigmentosum

Explore actively recruiting Xeroderma pigmentosum studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Xeroderma pigmentosum with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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