What's causing this patchy skin and photophobia?

Arti is a two-year-old child who has recently migrated to Australia. She presents with her parents regarding dry skin, photophobia and irritated eyes with associated discharge.

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Dr Paul Muthiah is a GP on the Central Coast of NSW and medical co-editor of Australian Doctor.

References:
  1. UpToDate — Xeroderma pigmentosum

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