Genetic studies to date have identified few syndromes associated with increased risk of SCC (including xeroderma pigmentosa, epidermolysis bullosa, Fanconi anaemia, oculocutaneous albinism and aging syndromes such as Werner syndrome), and BCC (Basal cell nevus syndrome), some higher risk genes which are primarily pigment related (MC1R, OCA2, HER2, TYR, ASIP, SCL45A2, IRF4) and HLA (HLADQA1).21, 22. Here, IRF4 is linked to nevoid basal cell carcinoma syndrome.