Wednesday, October 12, 2005

What is the Owl Patrol?


Started in 2002 the Owl Patrol UK Night time Camp has taken place annually in February at St Katharine’s, Parmoor.

Over the weekend there are arts and crafts activities during the day and outdoor activities at night. Complementing a guest speaker program and many opportunities for fun and socializing.

The camp is free to all XP patients or those with light sensitive conditions and to one parent for each patient under 16. For non XP campers we ask for a contribution (of £10 per person towards last year) the cost.


The key to preventing skin cancer is protecting yourself from the sun, but too few people heed that advice

By LAURAN NEERGAARD - AP Medical Writer WASHINGTON (AP) - The key to preventing skin cancer is protecting yourself from the sun, but too few people heed that advice: Skin cancer strikes over million Americans annually and is on the rise.

Now researchers have developed an experimental cream that may repair some sun damage and help ward off cancer. Consider it gene therapy in a bottle, a lotion containing an enzyme that repairs sun-damaged DNA. It reduced the incidence of the most common form of skin cancer when tested on some of the world's most sun-sensitive people - sufferers of a rare inherited disease called Xeroderma Pigmentosum, or XP, who can blister in minutes and suffer skin cancer at 1,000 times the rate of average people.

Might the cream, called Dimericine, also help the general population? Ultraviolet rays damage DNA the same way in XP patients as in anyone else. So this fall, researchers plan to take Dimericine to three sunny cities - San Diego, Los Angeles and Jacksonville, Fla. - to test it on 600 people who have had one skin cancer removed and thus are at high risk for more. Don't put away your sunscreen yet. Even if the cream ultimately works, it's not perfect and so wouldn't be a license to fry. But, "right now when someone forgets or misuses or washes off a sunscreen and has a sunburn, there's nothing that can be done for the long-term damage that's been done to the skin," says molecular biologist Daniel Yarosh, who created Dimericine.

Now that scientists have pinpointed UV-caused gene mutations, "sooner or later, there's going to be a morning-after cream" to help fix them, adds Yale University dermatologist Dr. David Leffell. Some 1.3 million Americans will be diagnosed with basal or squamous cell carcinoma this year, the most common skin cancers and the ones easily cut away if caught early, according to the American Cancer Society. Thousands more, like President Bush, will have removed sun-induced lesions called actinic keratoses that can turn into squamous cell cancer. The deadliest skin cancer, melanoma, will strike an additional 51,000 Americans, a toll rising 3 percent a year. Skin cancer will kill almost 10,000 this year, the majority melanoma sufferers. The best protection is to limit sun exposure beginning in childhood, dermatologists say. Sunburns early in life are considered the most dangerous; doctors even have begun seeing melanoma in 20-somethings. Slip on a shirt, slop on sunscreen and slap on a hat anytime you're in the sun, but especially between 10 a.m. and 4 p.m. when UV rays are strongest, says the cancer society's new "slip, slop, slap" sun-safety campaign. One burn doesn't mean cancer.

Skin has complex repair mechanisms that remove about half of UV-damaged DNA in 24 hours, half the remaining damage in another day, and so on, Yarosh explains. But over time, missed repairs build up. Enough built-up damage equals cancer. A bacterial enzyme called "T4 endonuclease V" has long been known to help repair DNA. But no one knew how to get it through skin. Then Yarosh's biotechnology company, AGI Dermatics, put the enzyme into microscopic fat bubbles called liposomes that can slip inside skin cells. There, the enzyme binds to UV-caused DNA mutations and initiates repair. First tested were XP patients, who have an incurable gene defect that leaves them unable to repair most UV damage. Thirty applied either Dimericine or a dummy lotion to their face and hands daily for a year. Dimericine users had a 30 percent reduction in basal cell carcinoma, and a dramatic 68 percent reduction in precancerous actinic keratoses. Because the drug doesn't seem to penetrate below the epidermis, the skin's upper layer, so far no one has experienced side effects, Yarosh reported in The Lancet medical journal. He is preparing to seek Food and Drug Administration approval of Dimericine for XP. Next come studies to see if it could help protect against general skin cancer, too.

Dimericine may be "a very important step forward," says Dr. Martin Weinstock, chairman of the cancer society's skin cancer advisory board. But for now, avoiding the sun is a proven, easy preventive, he stressed. "People need to slip, slop slap."

Clothing Offering Sun Protection

Sunsuits.co.uk
Offer a small range of protective clothing from Australia for children. Sunsuits also give a percentage of their profits to The XP Support Group.
Contact : Julie Yardley Email:mailto:julie@sunsuits.co.uk

Sunsuits have moved to:
30 Kimbers, Petersfield, Hampshire GU32 2JL Tel/fax 01730-302008.

Bonwyke Window Films Ltd
Bonwyke are the suppliers of Dermagard, the only UV protective film in the UK that has been specifically tested for use by patients with light sensitive conditions. Bonwyke offer members of the XP Support Group a discount on the film when bought direct from them. Bonwyke can also supply a UV meter which gives a good indication of the amount of UV that is present in a given area, please note this meter is not a medical device and can only act as a guideline. For further information, please contact Justin Harris at Bonwyke or Sandra Webb at XP Support Group
Bonwyke House 41-43 Redlands Lane FAREHAM Hants PO14 1HL Tel : 01329 289621 Fax: 01329 822768 Contact : Justin Harris, Sales Manager

Plysu Protection Systems Ltd
Plysu supply the XP Support Group with a UV protective plastic film, free of charge, that is used to make a the UV protective face mask. Please see instructions on our web site or contact Sandra Webb at XP Support Group.
Woburn Sands MILTON KEYNES Bucks MK17 8SE Tel : 01908 582311 Fax: 01908 583741

Rohan Direct
Range of clothes for adults. Some of their clothes offer sun protection of a minimum of SPF 30
Tel : 0870 601 2244

Rohan Designs Ltd
Tel : 01908 517900 E-mail : Post@Rohan.co.uk
30 Maryland Road Tongwell Milton Keynes MK15 8HN

Sun Precautions
Suppliers of a wide range of adults and childrens sun protective clothing
2815 Wetmore Avenue
Everett
Washington 98201
USA
Tel: 1.800.882.7860

SunSibility UV Protective Clothing
Suppliers of clothing for adults and children
3 Chadacre Road
Stoneleigh
Epsom
Surrey KY17 2HD
Tel: 0208-224-0834
E-mail : sunsibility@hotmail.com
Contact: Angeli Khatri

Sun Togs
Sun Togs have been taken over and are trading again at the following address:
Litton House Saville Road PETERBROUGH PE3 7PR Tel : 01733-765030 Fax : 01733-765210
Sun Clothing
Offers a good selection of long trousers and long sleeved shirts for adults. For children they have a choice of 2 long sleeved shirts and legionnaires hats. Sun Clothing offers a good selection of long trousers and long sleeved shirts for adults. For children they have a choice of 2 long sleeved shirts and legionnaires hats.
907 Charles Street, Fredericksburg, Virginia 22401
Contact : Kimberly Carr Tel : +1 540 373 7175
E-mail : info@sunclothingetc.com

The Mask



You will require:






Assembly Instructions:

1. Attach the sew part of the velcro to the Legionnaires hat along the peak and down the two sides.

2. Cut the protective film to fit along the peak. (It is better to cut the lower part when the hat is on the subject so you can see how far you need to come down to cover the neck and shoulders).

3. Stick the velcro to the plastic film:
and attach to legionnaires hat.

4. Finish off by cutting the film to the required length.

A mask lasts about 3 months depending on the wear. Replace when it becomes scratched. Use the old mask as a template.

The 100 Club


The club consists of as many members as we can get signed up, the ideal being 100. All members agree to paying in £2 per month beginning on 1st May for an agreed length of time e.g. 6/12 months. On the 5th of each month all paid up members numbers will be entered into a draw.

The winning member will then receive half of the monies received for that month. (i.e. 100 members paying in £2 each = £200. £100 prize money, plus £100 for XP funds. Better odds than the lottery!

If you would like to join or would like to know more please - e-mail - perhaps your friends and family would be interested too? Numbers can be chosen by you as soon as you contact me, so, if you have a lucky number don't delay or you may be too late. Pay in advance and pay as you go options available.

September: Courtney Townsend of Wolverhampton
August: Steve Webb donated to Alex Webb night-time garden
July: Gill Randall of Iver Heath, Bucks
June: Miss Susan Lue of Dagenham
May: Mrs Jane Westwood of Prestwood
April: Mrs Janis Hannant of Prestwood
March: Mrs Pat Tyrer of Lancashire
February: Miss Patricia Lue of Wolverhampton
January: Mr Rupert Lue of Wolverhampton

More Info about the 100 club at: 100club@xpsupportgroup.org.uk

XP Charity wristbands

XP Charity wristbands are now available.
They are green and glow in the dark and have XP NEEDS ME engraved on them.
XP needs you to purchase these to continue our valuable work
Price £2.
Available from XP Head office. Send First or second class stamp for postage

Football Prediction Competition

This years form is available. The closing date is 14 August 2004 and the proceeds will be split in the same way as last year.

The Pool was £ 392 . The winners were:
  • 1st prize 309% - £ 117 - Jacob Perry - 30.5 points
  • 2nd prize 15% - £59 - Martin Williams - 30 points
  • 3rd prize 5% - £20 - Des Wilson - 29 points

The maximum score was 77 points.

Adoptions

Our thanks to the following groups who adopted us as their charity for the year.

These adoptions provide us with the funds that help the day to day running of the group:

  • Hyde Heath WI
  • The Bushey Synagogue Youth charity committee.
  • The Trefoil Guild of Great Missenden
  • Cholesbury-cum-St Leonards WI
  • Prestwood Evening WI
  • Prestwood Methodist Church - Monday group who adopted us in 1999 as their charity for the year
  • Pembroke Players & Dr. Challoner's Girls School
  • Wolverhampton Benefits Agency – Temple St. Branch and Owen Williams Railways.

Please email us if you are interested in information about fundraising activities at: fundraising@xpsupportgroup.org.uk

Grants

We are delighted to inform you that we have recieved the following grants:

The London Law Trust
Awarded a grant of £2,500 towards the 2005 Owl Patrol Camp.

The Variety Club awarded £470
The Variety Club awarded £470 towards the cost ofthe UV filtered outdoor lighting for the 2005 OwlPatrol Camp.

The Mulberry Trust awarded £500
The Mulberry Trust awarded £500 towards the costof purchasing safety mats for our new Trampoline.

The Four Acre Trust awarded £500
The Four Acre Trust awarded £500 towards the 2005Owl Patrol Camp.

Please email us if you are interested in information about fundraising activities at: fundraising@xpsupportgroup.org.uk

Donations

Our thanks to the following people and organizations who have donated time and money to the XP support group.

Past Donors Include:

  • The London Law Trust, awarded a grant of 2,500 towards the 2005 Owl Patrol Camp.
  • High Wycombe Lions for £100 to buy sun cream for Yuni and Bexy from Cuba.
  • The sun cream was presented to Yuni and Bexy at the “Owl Patrol” Camp by their President, Mrs Pam Nower.
  • The Parishioners of Little Hampden Church for£140 donated at their annual Carol Service.
  • The Colleagues of Mrs Harj Dhaliwal for £300 raised at a charity Dinner.
  • The Children of Prestwood Infant School who raised £137 with their Christmas Bauble Fund. Instead of giving Christmas presents to their teachers the children gave a donation in exchange for a Christmas bauble which was hung on a tree.
  • Maria Gardiner and friends who for the second year held a family New Years Party and raised £79
  • Silver Fox Bowling Club raised £102!
  • The Syndicate of Wolverhampton held a Black Tie Ball at the Park Hall Hotel, Wolverhampton. Proceeds from the charity raffle raised £470. Our thanks to Rodney and Molly Dillon.
  • British Airways for £200 from their “Change for Good” programme.
  • 1st Prestwood Scout Group for £30 donated at their annual Carol Service
  • Friends of the Gateway School, Great Missenden who raised £1,500 to provide us with a bouncy castle and trampoline for use at our meetings and the Owl Patrol camp. The Bouncy castle will have its first outing at the Barbecue and Fireworks night on 8 November
  • Poynton High School Year 7 who raised £66.

Please email us if you are interested in information about fundraising activities at: fundraising@xpsupportgroup.org.uk

Dr. David Busch



It is with great sadness that we report the passing of Dr David Busch on 11th April, a great friend of those with XP.

We quote below the memorial given on the XP Society website at www.xps.org

"We in the XP Society join with countless patients, friends, family, and associates in mourning the loss Thursday of a man who was our good friend and strong supporter from the very beginning of our organization some seven years ago.

Doctor Busch was often the first to confirm a diagnosis to patients with the DNA repair disorders Xeroderma Pigmentosum (XP) or Cockayne's syndrome (CS). His laboratory was the only source for such clinical diagnostic testing in the United States.

But this only begins to tell the important role he played in our lives. His wit, his friendship, his love of animals (cats in particular), his sensitivity in dealing with families and with young children and so many other positive qualities come to mind.

David Busch joined in the fun and games at Camp Sundown. The children so loved to play with him. When he brought his much loved cats to camp, he was the instant centre of attention.

Dr. Busch took his interest in animals very seriously. He was sole proprietor of Jadzia Cattery, and President of Emony's Exotic Cats. Not long ago he completed a one day course and passed an examination on "Basic Husbandry of Exotic Felines" conducted by The LIOC Endangered Species Conservation Federation, Inc. He concentrated on Norwegian forest cats and, more recently, lynxes.

There were many facets to this man, and as we receive anecdotes from the families he touched, we will add them to our memorial on this Website.

Here he is shown opposite conferring with parents at a Camp Sundown session.

We know that he fought a valiant fight against the myelodysplastic syndrome with which he was diagnosed in late 2000. We know all this because, characteristic if this scientist, he kept us informed through regular e-mail reports and his Web page devoted to this topic.

We miss you so much already David Busch

Sunday, October 09, 2005

The Webbs

Our profile this edition is my own, I realize some of you know about Alex, Steve, Holly and myself, but others don’t, so here is our story of how we came to set up the Support Group.

Two years ago my son Alex - then aged 3 - was diagnosed with Xeroderma Pigmentosum.
We have always known that there was a skin problem with Alex since he was less than two months old. At 7 weeks he received his first burn through the car window. At 7 months he burned in the shade and at 11 months he had his most serious burn on a holiday in Austria, when sun and snow played a major part. I took Alex to the doctor who gave sun milk to soothe the burns which had now blistered and were forming a huge scab on his forehead, cheeks, and chin. Alex is dark skinned and was wearing total sunblock when he was burned. Alex was referred to a dermatologist at this stage, who made us feel in no uncertain terms that we had been negligent and had to be more careful. It was sunburn and nothing else.

From this point, we took things into our own hands. We decided we would always put sunblock on any bright day. We also instituted the wearing of a hat. With these few precautions we managed to avoid any major burns. However, in April 1997 on a holiday to Tunisia, Alex’s face became redder and redder, and by day 5 Alex could hardly open his eyes. On our return to the UK, I took him to our GP who referred him to a specialist dermatologist.

When we saw Doctor Sheru George at Amersham Hospital, I took with me photos of Alex when he had been burnt. From the photos he said he was sure that Alex had some form of photosensitivity. Tests were carried out and by July we knew that Alex had an extreme sensitivity to UVA, and at that point it was decided to carry out a biopsy. The biopsy was carried out in November but it wasn’t until March 1998, that we were given the diagnosis.

At this point we decided to find out as much information as we could and to subject Alex to a strict regime, which we have continued ever since. This involves him being completely covered up, including wearing a face mask, every time he went outside during daylight hours. He also has to be covered in sunblock very two hours. A special film was fitted to all the windows in our home and cars to block out UV rays. For the summer months when it is impractical to put Alex in several layers of clothing we have had to purchase some special clothes from a supplier we found in America.

Alex is able to attend mainstream school. The school has been fitted with protective film on all the windows, lights have been checked for their emission of UV and a welfare assistant has been provided to apply Alex’s sun cream . A portable air-conditioner has been provided for when it becomes hot in the classroom as windows and doors can’t be opened. This is a problem not only for the pupils but also for the teachers! The air conditioning unit can be moved around the school with Alex and can be passed on to his next school when he moves to middle school.

We decided to set up the XP Support Group to provide support for UK families and to raise funds for research. We are keen to heighten awareness of the condition and to raise funds for research as well as supporting families with information, grants for equipment, and assist families to attend respite holidays in a protected environment. We are also keen to encompass sufferers with other UV and light sensitive conditions, such as Lupus, Cockayne Syndrome, Porphyrias.

We have been fortunate living in Buckinghamshire, we have a Social Services department and Education Authority who have helped us to achieve some normality in our lives. We have the support of our friends and local community, a local school recently raised funds to send Alex and our family to Camp Sundown This puts us in a very privileged position. We know that it is not the same for other families in the UK, which makes it more important for us to ensure through the group that families around the country get the good care and support that they are entitled to

In March 1999 we held the first meeting for XP families. From that it was agreed to set up two educational campaigns – the first, a poster campaign to hospitals and dermatology units informing them about the group, the poster would advise sufferers to contact us for an information pack, which would contain details of UV protective products and any information that we had available at that time.

The second campaign would be to Social Services and Local Authorities to inform them of what it meant to have these conditions, as we are finding that the service you get depends on where you live, we want all sufferers to receive the same level of care when it comes to such things as disability allowances, orange parking badges, etc. At the moment there is little or no consistency in the way authorities deal with applications, though this is not surprising given the rarity of the condition.

In February 1999, Alex and I were invited to attend the first Camp in Europe for XP sufferers. It was organised by a German charity called Mosaico Medico. The Camp was held in a beautiful castle in the Bavarian Alps, where activities were arranged for the evening, when our children went sledging and pony riding, played in the snow, and enjoyed other activities they could not normally do in daylight. Special events had been organised, areas were floodlit and cable cars took us up to mountain restaurants which had been specially opened, we went on sleigh rides on mountain gondolas and night-time walks with torches to light our way.

The XP Support Group hope that one day we will able to offer respite or a Camp for families in the UK to allow them to do activities that are not normally open to them. Realistically we know this is a few years off, but the fund-raising is underway!

The Buntings

My twin daughters were born in March 1967, they were both a good weight, Caroline 6lb 12ozs and Alison 6lb 7ozs. They were both perfect until 3 months old when Caroline developed Eczema very badly loosing a layer of skin. Looking back now and at all that has happened over the years it must have been the beginning of XP. I used to put their pram out in the garden with a sun canopy over the both of them, unbeknown to me the sun must have been getting to Caroline then.

When Caroline was two years old she became very freckled. I thought nothing of this because she was fair skinned with red hair and assumed it was a natural thing. She then developed what I can only describe as something looking like a horn on her nose. A visit to the dermatologist caused quite a stir.

They were very interested in the freckling at that time, and it was at that time we had our first visit to King's College Hospital in London where I was asked no end of questions such as, was I married to an Arab, was Caroline conceived in a very hot country. They really had no idea what was wrong with her. They removed this horn which turn out to be malignant growth no. 1.
There have been 80 of these growths with only one being non-malignant.

When Caroline was 13 she had a huge growth on her nose, it started like the size of a pea and ended up almost covering her entire nose. My husband and I use to take her to medical conference meetings at King's College where it was decided, because this disease was so unique, to allow this growth to grow.

Meanwhile Caroline was away from school for more than a year and was given a drug to reduce the growth in size but unfortunately when it decayed away it took the front part of her nose away, and we think the drug she was give stunted her growth. She then had to go to East Grinstead to have plastic surgery at the Queen Victoria Hospital.

At this time no one really knew what this disease was, the dermatologist concluded it had something to do with the ultraviolet rays of the sun. We didn't know at this time it was a genetic disease and during the 70's and 80's, there were no support groups and no advice. No one suggested having the light blocked out at our house. I was given lotion at this time to put on Caroline before she went out, always covered her up well with long sleeves and a sun hat and because her eyes were affected she had prescription sun glasses. Caroline also has a hearing loss of 75% and has a hearing aid.

Caroline has never worked because when she was at school and was discovered to be deaf, we wanted her to go to a deaf school but the authorities said no, as she had a hearing aid, they suggested she sit at the front of the class but of course because she had lost so much schooling being in and out of hospital all her life she was way behind. When she was 16 Caroline went to a special unit for young people with learning difficulties where she was helped a great deal and ended up doing office work, typing etc. but had to leave at the age of 21, we have had no help in getting her placed in a job and she had been at home since where my husband and I care for her.
Last year she was admitted for day surgery to have two very large growths removed from her legs and despite several skin grafts now has a huge hole in her leg. We brought her home the day after and a nurse came in for a month to change the dressings. Caroline also had to have a brain scan last year because she had problems walking and had been falling over a great deal. They concluded that part of her nervous system has been slightly damaged.

We have never been able to go on holidays or even to the coast for the day. We had one farm holiday but again Caroline had to be well covered up. Our whole life has been affected as a family but we did what we thought was right. Things have been especially difficult for Alison as her twin in really lots of ways especially with Caroline being teased at school for being so different.
When Caroline was first diagnosed I spent a lot of time in and out of various hospitals with her while my husband looked after Alison at home.

My husband and I do not know what the future holds for Caroline, we have to attend the hospital every three months, where sometimes she has to have small growths frozen off.

I think Caroline was born at the wrong time really. Had it been now the future would, I think, be brighter for her.. I hope this information helps in some way everybody involved with XP especially the families of XP patients. I wish you all well.

Steven

Our profile this edition is Steven’s story as told by his friend Ian. This is a re-print of an e-mail I received this month.

Steven attained the age of 17 last April, which was a real milestone in his life, as his doctors at Great Ormond Street Hospital, Moorfields Hospital etc. had not expected him to live beyond his 16th birthday. But he has always been, and always will be, a fighter. He amazes everyone around him with his determination to survive, regardless of how many operations ( 78 to date ) and whatever pain he has to endure. Somehow he manages to keep going. He is a truly amazing human being.
Until I met Steven 5 years ago, I hadn't heard of XP, and was taken aback when I learned, and saw for myself what the illness can do to a person. We have been best friends since our first meeting.

He has recently had what was left of both his ears amputated. He has cancer in both his eyes. He's had some extremely big tumours removed. Never before have I personally seen an illness literally eating someone. We were on a train one day and a passenger asked me when the fire was that Steven had been in. That may give you some slight indication of how he looks. But Steven turned to the passenger as calm as you like and said "It wasn't a fire, It's Cancer"

Steven was recently more poorly than he has ever been. He was in hospital for three months, and we all thought, including him, that he was going to die. Between 5 of us we stayed with him all the time he was there. As a result we all contracted Scabies. It was bad enough for those around him, but for Steven it was hell on earth. It was so bad the hospital had the Crash Team on stand-by to try to revive him if necessary.
But he has come through it all. How on earth he finds the strength to continue his fight is really quite incredible, but he does, and he always comes through things having retained a really wicked sense of humour.

No one knows now just how long Steven will be with us for. Everyday that passes is a wonderful bonus for both him and those who are fortunate to be in his company.
The way he looks makes some people feel physically sick, in school he has been described by some children as looking like a monster. But those blinkered people haven't taken the time to look beyond his physical appearance to see Steven as he really is. A kind, considerate, loving human being, with more heart and thought for others than any other 17 year old I've met (he was the same when I first met him).
To think that there are potentially many other people just like Steven, is both sad and wonderful. Sad, because they have this terrible illness, but wonderful, because if the world was full of people who thought and felt and gave so much just like Steven does, then the world would be amuch better place.

I only wish that Steven's life could be fuller and more enjoyable, but the XP is not that kind to him. We are constantly trying to find things for him to do in order to give him something to get up for each day. He has to have something ahead of him to look forward to. It is a constant battle to stop him turning his head towards the wall and wishing the world would stop so that he could get off.

For all that life has taken away from Steven, it has also given him so much in other ways.

In memorian Steven

Stephanie


Our profile for this edition comes from a family in Australia, our thanks to Stephanie for allowing us to re-print her story.

When my son was first diagnosed with XP we were not told, all in one go, a great deal about the disorder. Over the next few weeks we asked our Doctor many questions (as the mothers amongst you will understand ). During genetic counselling we learned that we could pass it on to other unborn children. I had planned a larger family. It was also in that meeting that I learned that this condition was terminal. WOW.

I can't remember anything else that was said during the rest of that meeting. You might say I was in shock. Instead of catching the bus home, I caught a taxi cab. Stunned but composed, during the journey home, the taxi driver tried to get a chat going. I only yes'ed and no'ed in the right places (I think?). Getting out of the cab the taxi driver said "Cheer up, nothing can be that bad." I paid and said "I've just been told that my 15 month only baby was going to die." You could see he wanted to crawl in a hole somewhere. I felt bad about that comment later. He was only being nice. He didn't need me dumping on him.

It was a good six months until I came out of shock. Each birthday we treasure, each Easter, each Christmas. We never know if it will be his last. It made long term plans a problem. What if we decided to do something in 3 months time (a holiday, a family wedding etc). We always said yes but .... our family knew we were worried that by that time, we may be having problem and may have to pull out at the last minute.

My son has been in and out of hospital many times since. Making decisions about his care was a crash course in trusting your instincts. We had only our Doctors who could advise us. We had no group to turn to. We couldn't speak to an experienced family about it. My son was too young, to ask his opinion about his care. We treated our Doctors as team advisers but we, as parents, we made the final decisions. We decided that we would 'sleep' on most decisions, then whatever we woke up with was the way we went. Even if we didn't understand the wisdom in that decision, at the time. Sometimes we went against what would seem more logical. Our Doctor commented on our method of decision making because in hindsight we often made the wisest decision without enough information that was needed at the time.

My son is now 24 years old. One Doctor said that he was surprised that my son had survived all he has been through. Our 'sleeping-on-it' method had indeed given him many more quality years than he (the Doctor) could have ever expected.

He first had a Squamous Cell Carcinoma (SCC) when he was 11 months old. They didn't diagnose XP then. He has had many KA's, loads of Basal Cell Carcinomas (BCC's) and I've lost count of the SCC’s since that first one. The main kind of treatment he has had is surveillance and excision of lesions. Often needing a skin graft or two. His eyes have suffered, too. His vision is particularly restricted with sun damage to the corneas.

Living Down Under, here in Australia, where it is a sunny and hot climate seemed to us to be the wrong place to stay and raise our son. We considered moving to another climate but the more we found out about XP the more we realised that wouldn't fix it. My son was on the WRONG planet. UV affects the entire planet. One of my friends wrote a short story based on my son. The story was about how God had 'messed up' and put this child on the wrong planet. We found the story very amusing. I've often thought about that story since.

Television doesn't seem to cause him any problems but fluorescent light strips give off UV light (as we found out by him being burned) so we do not have these in the home. One night we had a lightning storm. WOW. 'Natures fireworks', it was a brilliant exhibition. We all went out and sat outside and watched the night sky. Being night time Gaelon could go outside. The next day Gaelon was intensely burned which showed us that lightening was intense UV. Who would have thought it. We found out the hard way, as usual.

Gaelon is quite contented in nature and nothing much phases him. He has been on TV once or twice and Women's magazines have run a story or two about him. We found that locally beneficial because then the neighbourhood who were in contact with him knew what he was living with. The man in the local deli gave him a free ice-cream, one day after he had been on TV and another man in the Video Shop let him hire a game for free. The story touched their hearts.
Because Gaelon is obviously physically affected people are usually curious as to what the matter is. Gaelon usually just tell them that he gets skin cancers and the Doctors cut them out. That's usually all they need to know. Gaelon is very quiet and very shy. But when people get to know him, his humorous side often has them laughing. Being in the church we often have members join us in the home. He isn't shy with them and will race them around the block smashing everything in sight (on the Sony Playstation ). Gaelon also likes the games where there are puzzles, like in the game 'Silent Hill'. Because his eyesight is reduced, sometimes he needs me to read the frames in the games to him. The TV magazine writing is too small for him to see, too. So I photocopy that for him and make the print larger by sizing-up on the photocopier. He subscribes to the game magazine and the print in that is too small, too. Sometime his sister comes around and visits him. She likes reading the magazine too, and helps him with the games. She likes to play the games where I'll help, where he needs it, but I don't like to play the games. I leave that to them.

It struck me a few years ago that while Gaelon is living with XP, his XP affects so many people around him. Not only the immediate family (obviously) but how he opens the hearts of those who come in contact with him. One of our rellies came over for a visit from England. Before she came she said that she wasn't sure she wanted to actually meet Gaelon because she was afraid she would become attached to him, and find it very hard emotionally when he died. Of course she will, we understand that, so I said to her that she may never have a chance again and that her fear should not make her choices for her. I suggested that she let her heart open and learn to love unconditionally and when the time comes she could let herself cry, 'with us' not 'for us'. She came. She fell in love. She is glad she did. And up to now she hasn't had to cry 'with us'.

I've grown so much since he was diagnosed (when I was 22 years old). I must say that taking care of him has made me a much better person. Meeting mothers in the hospital with all sorts of problems has made for a very interesting a varied life. I may not have planned it that way, but when life hands you a lemon you may as well make lemonade. Gaelon Joined CanTeen. That is Teenagers with Cancer. There motto is "Cancer is a work not a sentence". I just loved that. Gaelon is LIVING with XP, to the max ( ... well ... as much as he can).

In memorian Gealon

Miriam

Our profile this edition, is slightly different in that it comes from Miriam, who was a counselor at Camp Sundown this year.

Camp Sundown 2000: a shutting of curtains but opening of eyes

I hadn't heard much about Xeroderma Pigmentosum before reading last summer's Sunday Times article about Camp Sundown. Only a brief mention in a lecture on Medical Genetics where we were more interested in learning the genetic principles exhibited rather than studying its effects on actual people. This is often a problem at medical school; one is so busy cramming scientific facts to pass exams. that it's easy to forget that patients are people with lives of their own, not provided solely for the furthering of science. One of the things about the XP Society that has so impressed me is the way in which neither medical research nor patients are neglected. While money is raised to promote scientific research into the condition, equal funds are used to improve the every day living of those affected.

I volunteered at the camp for two weeks. The first of these was for older patients, usually in their twenties or thirties. I wasn't prepared for the disfigurement that some of them displayed, I had forgotten the harsh realities of XP in my excitement about volunteering. Several of them had surgery scheduled for the week after they left camp which added considerably to their reluctance to leave. It also came as a surprise to me to learn that nearly all the patients had lost siblings to the disease. This somehow added to the somber air of the whole week. Sometimes there was a feeling that the happiness was slightly forced, covering a deep depression that was felt by many.

The second week was entirely different. The guests were children from all over the world, usually accompanied by their parents and siblings. The school bus we used had been fairly empty in the previous week but suddenly we were finding ourselves squashed three to a seat in an attempt to accommodate everyone. I had been away for the weekend between the two weeks of camp and my train returning was delayed. As I opened the door to the conference room in which the first night festivities were taking place, I was met by the sight of dozens of youngsters running around with their faces painted, cowboy hats on and fake tattoos liberally applied. It could not have been more different from the previous week. There were children however, used to scorn and ridicule from classmates, who were unable to join in easily, fearing similar treatment. Some of the stories I heard from campers were horrifying; an Israeli family who ran a very successful restaurant that went bankrupt after rumours that a family member had a contagious skin disease; a native American lady who had been ostracised by her own people after her daughter was diagnosed with XP (in native American folklore such conditions are believed to result from wrong doing by the mother); a family whose affected son is being deprived of a proper education due to the local authorities failing to make adequate arrangements for his protection from UV light. While it was awful to hear these things, it must have been a huge relief for the parents to find themselves in the company of people who understood entirely what they went through on a day to day basis. The camp didn't just provide a holiday for the children.

The last night of the camp was jam packed with activities. Firstly dinner at a local pizza restaurant with an awards ceremony in honour of the children's achievements. Then a visit to the local baseball team, the Hudson Valley Renegades, where the campers were treated to expert training (and the young female volunteers to the sight of the players' tight trousers). Finally we went to Freedom Park where pony rides, fencing and much more were on offer. Everyone wore glow in the dark necklaces, and the memory of seeing scores of strips of light running around in the dark is one that will remain with me for a long time. Saying goodbye was hard, a lot can happen in a year, especially when exposed to the constant threat of UV radiation.

It was a truly great experience volunteering at the camp, humbling yet somehow empowering as I realised that I could make a difference, albeit a small one. The prospect of a Camp Sundown UK is wonderful, and exciting. There were four UK families in New York State, and I am sure that all will recommend the camp whole heartedly to other families. Media coverage of the condition is gaining momentum, and this can only help to raise funds for and public awareness of the XP Society. It is something in which I feel really privileged to be involved.

Health warning to potential volunteers: ensure that Holly and Alex W and Alex W are handcuffed and gagged when sleep is required. It is otherwise impossible.

Helen

Our family profile is from Helen, who is still awaiting diagnosis of her children’s condition:

My name is Helen and I live in Cheshire, I am a single mum to Chelsea, 9, Stephanie 2 and Daniel 1. My younger two children both suffer from light intolerance and in the process of investigations. When Chelsea was 6, I met my partner at the local gym,. I became pregnant about a year later with Stephanie. After a long pregnancy and probably too many doughnuts, I gave birth to a beautiful baby girl weighing a whipping 10lb 3ozs! Everything seemed well for the first few months.

When Stephanie was 12 weeks old we went on holiday to Tenerife. After two days her eyes became infected and despite antibiotics her eyes were completely closed and swollen for a week. She suffered 7 of these eye infections in 8 months. The doctors said she had a blocked tear duct!
During that first summer I noticed her exposed skin becoming red even though she was always under a sun canopy and in the shade. We bought a pair of sunglasses which seemed to protect her for a while, but then the skin on her face began to burn also the lower part of her arms which had been exposed. As winter crept in things became a little easier.

I gave birth to Daniel in December, thankfully he was a little smaller at 8lb 5ozs. Spring arrived, along with bright days and the summer sun. A time that many people wish for. For the early part of that year (2000), Stephanie would be in her paddling pool with a UV body suit, factor 60, sunglasses, hat, under a parasol and in the shade! She could tolerate 2—30 minutes before her skin would become red and we would come back indoors. It was one of those days that Daniel burnt. He was asleep in his chair, 6 feet away from the patio doors, the garden was all in shade. After 20 minutes, I noticed his face bright red. I thought he must be too hot, even though he only wore a cotton T-Shirt and a nappy. That night when I removed his T-Shirt he had a large red V on his chest where his arms had been. All his face and chest was blistered and peeling. It was the I realized something wasn’t right with my babies.

Ironically I saw the article about 2 children in Liverpool who had XP. After a call to the television studio, they put me in touch with the XP Support Group. Shortly after that I received the special visor material*. I couldn’t wait to take the children out. Our first trop was to Toys R Us. We walked through the doors into the lights and headed towards the outdoor equipment. After 5 minutes Stephanie began screaming. I looked at her face under the visor. Her eyes were swollen and all her skin was red raw. We drove home with Stephanie screaming the whole way. We bathed her skin with ice water. Her cheek was blistered. From there we went to see a photo-biologist at Hope Hospital who sent my children for biopsies. We now have to sit and wait.

We spent the rest of that summer behind curtains.

We are now in January and things have deteriorated a lot in the last few months. Stephanie burns with UV and visible light. Even a 40 watt light bulb burns her little face. We spend our days behind blacked out glass with only a 10watt light bulb, the television is dimmed very low. If I go to the shops the children travel in a blacked out buggy, which gets very hot and stuffy underneath.

We have raised enough money to buy the space-suits from the HED Foundation in the USA. Stephanie still has the burns on her face and chins, 5 months after the event, despite course of steroid and hydrocortisone creams. Thankfully Daniel’s skin will not be as sensitised as Stephanie’s as he went into the dark at a younger age.

I have to deal with the ignorance of people in the Health service who have said that because they haven’t seen the children burn, then they found it hard to believe what was happening!!! When are these people, who are supposed to work in a caring profession, begin to start listening? Just because they haven’t dealt with it before, doesn’t mean it doesn’t exist! I now have a fantastic occupational therapist called Lorraine who helps with the support that we need as a family.

Even though Stephanie and Daniel suffer with the illness, it affects Chelsea too. She ahs lived in a light world for eight years and now has to live in the dark.

I don’t know what is around the corner for us or what the future holds, but when I wake in the morning to these three smiling happy faces it makes life a little easier.

"Chelsea, Stephanie and Daniel, you are my three special stars who shine bight enough to light the dark skies"

* The protective film blocks out UV, but if someone is sensitive to visible light as well, it cannot on its own , give sufficient protection.

Betsy

News from Camp Sundown

Only one camp was held this year as efforts are being concentrated on the permanent facility which will open later this year. Two families from the UK were able to attend, one of whom – the Mir family were funded by the XP Support Group.

We also provided two volunteers for the Camp, Miriam and Mel. Below is Betty’s story of Camp Sundown as told to Miriam. Betty is the oldest living patient with XP.

Betty Wallace was one of two British XP patients to visit Camp Sundown in New York this July. Despite never having left the country before and a fear of flying, Betty overcame these worries and had what she describes as a once in a life time experience. She is keen to describe her trip in the hope that others may be encouraged to go in the future.

What were your main concerns about making the trip to Camp Sundown?
Having never left England before, the flight worried me more than anything. However, the air hostesses were really kind, and made sure I had everything I needed. It was a bit like sitting on a big train. I was also unsure about the food in the States, and whether it would disagree with me. In fact it was wonderful, and I enjoyed practically every meal. Lastly, I was afraid that the heat would prove overpowering, but the air-conditioning in every room meant that I was always comfortable with the temperature.

What were your first impressions of Camp Sundown?
At first, it all seemed so strange to me that it was difficult to make sense of anything. It was amazing to be with people who have to live similarly to me, it felt like coming home. Completely marvellous. On the first night we had to go outside to meet for the field trip. For the first time I can remember, I walked out of the door without my hat, gloves, scarf and sunblock. I didn’t have to bother with any of it. It had been years since I had gone out in England at night-time, and I felt free.

What was it like meeting other people with Xeroderma Pigmentosum?
Great. Suddenly I wasn’t the odd one out anymore, the only person having to worry about lights and sunblock. I don’t get to talk to many people at home, so I talked non-stop to everyone I met. And all the Americans I met were so nice…

Yes, I remember you flirting outrageously with all the men.
Only the ones in uniform. That baseball player was gorgeous. But everyone was so kind to me. I’ve also received letters from other campers since coming home.

What would you say to another person with XP who is considering going to Camp Sundown?
Go! Definitely! It truly was a once in a lifetime occasion. Even to someone without the condition it would have been amazing, but to me it was another world. I couldn’t believe something like that would ever happen to me.

What did you think of New York?
It was amazing. My hotel room was on the 23rd floor, and when I looked out of my window at night-time, I had the most incredible view of the city. All the buildings were lit up and looked like Christmas trees, and the taxis below were crawling along like ants.

My day in New York was a dream come true. I was a bit worried about going out during the day, but there was a huge storm and the sky was black by 3pm. I got in a cab and visited Ground Zero, Times Square, the Empire State Building, Central Park, Trump Tower, the Hudson River, a baseball stadium. And all in the middle of a great thunderstorm. It’s true what they say about everything in America being bigger! My taxi driver was so kind he charged me only $30 for a three hour tour of the city.

How has visiting Camp Sundown changed your outlook?
If I never do anything else in my life, I’ll know I did that. It was something I thought I would never do. I was a bit nervous when I visited the Owl Patrol in February, I didn’t really know what to expect and was worried about going out. However, next year, I will feel much more comfortable and can’t wait for the night-time activities.

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Monday, October 03, 2005

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Officers:

  • Chairman : Mr Christopher Jardine
  • Treasurer: Mr Stephen Webb, FCMA
  • Secretary : Mrs Sandra Webb
  • Trustee: Mrs Linda Partridge
  • Volunteer Trustee: Ms Alison Fraser

Medical Advisors:

  • Dr. Sheru George, Consultant Dermatologist, Amersham Hospital
  • Dr. Celia Moss, Consultant Dermatologist, Birmingham Children’s Hospital
    Scientific Advisor
  • Professor Brian Diffey, Regional Medical Physics Department, Newcastle General Hospital

Contact the XPSG Office:

UK Registered Charity No.: 1075302

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2 Strawberry Close
Prestwood
Great Missenden
Bucks
HP16 0SG
UK

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XP Support Group
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Thank you.

What is Xeroderma Pigmentosum?

What is XP?

Xeroderma Pigmentosum (XP) is a rare genetic disorder that causes extreme sensitivity to the sun’s ultraviolet rays. Unless patients with XP are protected from sunlight, their skin and eyes may be severely damaged. This damage may lead to cancers of the skin and eye. XP has been identified in people of every genetic group all over the world. There are about 100 cases in the UK, many of which are undiagnosed.

Causes

Ultraviolet light damages the DNA in cells and disrupts normal cell functioning. DNA (deoxyribonucleic acid) within in our genes contains all coded information needed to direct cell functions.

Two factors combine to cause the abnormalities in XP. First, a person inherits traits from each parent which, when combined, lead to an unusual sensitivity to damaging effects of ultraviolet light. Second, exposure to the sun, which contains ultraviolet light, leads to changes in the skin and eyes.

Damaged DNA is mended by the DNA repair system. But the DNA repair systems of people with XP do not function properly. As a result, un-repaired DNA damage builds and causes cancerous cell changes or cell death.

Symptoms

Many persons with XP get an unusually severe sunburn after a short sun exposure. The sunburn will last much longer than expected, perhaps for several weeks. This type of sunburn will usually occur during a child’s first exposure, and it may be a clue to the diagnosis of XP. However, some people with XP will not get a sunburn more easily than others, and the disease will be undetected until unusual skin changes appear over time.

Most patients with XP develop freckles at an early age. Continued sun exposure will lead to further changes in the skin, including irregular dark spots, thin skin, excessive dryness, rough-surfaced growths and skin cancers. These skin changes will resemble those of elderly people who have spent many years in the sun. In people with XP, these changes caused by sun damage often begin in infancy and almost always before the age of 20.

The eyes of a person with XP are often painfully sensitive to the sun and may easily become irritated, bloodshot and clouded. Non cancerous and cancerous growths on the eyes may occur.

Treatments

There is no cure for XP, but much can be done to prevent and treat some of the problems it causes:

  • Protection from ultraviolet light, by a combination of physical and chemical means. These include sun avoidance, shade, clothing, hats, optical filtration and sunscreens.
  • Frequent skin and eye examinations.
  • Prompt removal of cancerous tissue.
  • Neurological examination in some cases

Text extracted from “Understanding Xeroderma Pigmentosum” published by US Department of Health & Human Services .

Click here to view in pdf: What is XP?

If you or a member of your family has been recently diagnosed with XP and wish to be in contact with other families, by e-mail , please join Light conversations. An email mailing list restricted to patients and families of patients, plus medical professionals specializing in this field.

Please also contact Pat at the XPS (pat@xps.org) saying why you wish to join.
Or click here to go to the www.lightconversations.org website.