Xeroderma pigmentosum group C in a French Caucasian patient with multiple melanoma and unusual long-term survival

Br J Dermatol. 2008 Sep;159(4):968-73. doi: 10.1111/j.1365-2133.2008.08791.x. Epub 2008 Aug 20.

Abstract

We report the case of an 83-year-old French woman with multiple melanomas showing a severe DNA repair deficiency, corrected after transfection by XPC cDNA. Two biallelic mutations in the XPC gene are reported: an inactivating frameshift mutation in exon 15 (c.2544delG, p.W848X) and a missense mutation in exon 11 (c.2108 C>T, P703L). We demonstrate that these new mutations are involved in the DNA repair deficiency and confirm the diagnosis of xeroderma pigmentosum from complementation group C (XP-C). We speculate that the coexistence of a MC1R variant may be involved in the phenotype of multiple melanomas and that the unusual long-term survival may be related to a lower ultraviolet radiation exposure and to a regular clinical follow-up. This patient appears to be the first French Caucasian XP-C case and one of the oldest living patients with XP reported worldwide.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • DNA Repair / genetics*
  • DNA-Binding Proteins / genetics*
  • Female
  • Frameshift Mutation / genetics*
  • Humans
  • Melanoma / genetics*
  • Melanoma / pathology
  • Mutation, Missense / genetics*
  • Neoplasms, Multiple Primary / genetics*
  • Neoplasms, Multiple Primary / pathology
  • Phenotype
  • Skin Neoplasms / genetics*
  • Skin Neoplasms / pathology
  • Survivors
  • White People
  • Xeroderma Pigmentosum / genetics*
  • Xeroderma Pigmentosum / pathology

Substances

  • DNA-Binding Proteins
  • XPC protein, human