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As a result, medical practitioners are experiencing an overwhelming number of complication referrals

His labs showed triglycerides at 210 mg/dL (2.4 mmol/L), HDL-C at 38 mg/dL (1.0 mmol/L) a TG/HDL-C ratio of 5.5

increasing the dose to 1 mg/kg/day resulted in decreased skin cancer frequency in three of the four subjects who did not respond at the lower dose.[258] Oral isotretinoin use may be useful as a chemopreventive agent in other hereditary skin cancer syndromes, including basal cell nevus syndrome (BCNS), Rombo syndrome, EB, and epidermodysplasia verruciformis.[259,260] Level of evidence (oral isotretinoin for XP): 3aii Level of evidence (oral isotretinoin for BCNS, Rombo syndrome, epidermodysplasia verruciformis): 5 Topical T4N5 liposome lotion, containing the bacterial enzyme T4 endonuclease V, was also investigated as a chemopreventive agent in a randomized, placebo-controlled trial of 30 XP patients.[261] Although no effect was seen on incidence of SCC, 17.7 fewer actinic keratoses per year were seen in the treatment group