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albinism [2016/01/26 20:52] – Scott Larsonalbinism [2026/09/08 14:55] (current) – [Relative Frequency Estimates] Scott Larson
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     * OCA4: MAPT gene mutation (SLC45A2)     * OCA4: MAPT gene mutation (SLC45A2)
     * [[hermansky_pudlak_syndrome|Hermansky-Pudlak syndrome]]: mutation in any of HPS1 (10q23.1), HPS2 (5q13) , HPS3 (3q24), HPS4 (22q11.2-q12.2), HPS5-9     * [[hermansky_pudlak_syndrome|Hermansky-Pudlak syndrome]]: mutation in any of HPS1 (10q23.1), HPS2 (5q13) , HPS3 (3q24), HPS4 (22q11.2-q12.2), HPS5-9
-    * Chediak-Higashi syndrome: chromosome 1 +    * [[chediak_higashi_syndrome|Chediak-Higashi syndrome]]: chromosome 1 
-  * OA: X-linked+  * OA: Ocular Albinism
     * OA1 gene mutations (Xp22): males with normal hair and skin pigment, abnormal melanosome production     * OA1 gene mutations (Xp22): males with normal hair and skin pigment, abnormal melanosome production
-==== Other Findings ====+      * giant melanosomes on skin biopsy if preformed, defect is in melanosome production 
 +      * can have late onset sensorineural deafness 
 +      * female carriers have mosaic pigmentation of peripheral fundus 
 +    * OA2: Families from Aland Islands in the Sea of Bothnia, female carriers do not have a mosaic pattern, possibly a type of CSNB (310500), (Xp11.4-p11.23) OMIM: 300600, 
 +    * OA3: Autosomal recessive. [[https://omim.org/entry/203200 | OMIM reference]] (6q13-q15) or (15q11.2-q12) 
 +    * OA with sensorineural deafness: [[https://www.omim.org/entry/193510 |OMIM reference]] (11q14-q21, 3p14.1-p12.3) 
 +      * [[waardenburg_syndrome|Waardenburg Syndrome]] type II with ocular albinism, mutation in the transcription factor MITF which regulates the TYR gene
  
 +====Relative Frequency Estimates====
 +^Type ^Gene ^Share of albinism cases worldwide ^Estimated prevalence ^Notable population patterns^
 +|OCA1| TYR| 48% (most common in Caucasians) |1:40,000 globally |Most common subtype in Europeans and Japanese (1/3 of Japanese OCA)|
 +|OCA2| OCA2| 30% (most common in Africa) may be the most common world wide but the literature skews in favor of studies of predominately Caucasian patients |1:37,000–40,000 (Caucasians); 1:10,000 (sub-Saharan Africa), up to 1:1,000 / 1:227 in isolates |Most common subtype in Africa; high rates in some Native American groups (e.g., Hopi)|
 +|OCA3| TYRP1 |3%|1:8,500 in southern Africa; nearly absent in Caucasians/Asians |Largely restricted to African populations|
 +|OCA4| SLC45A2|17%|1:85,000 in Japan Most common type in Japan (25% of Japanese OCA); 5–8% of German cases|
 +|OCA5–8| 4q24 locus, SLC24A5, LRMDA, DCT|Rare / not well defined |Not well established |Individually rare; prevalence poorly characterized|
 +|Ocular albinism (OA1)| GPR143 (X-linked)| 7% of molecularly diagnosed albinism series| 1:50,000-60,000 males |Primarily affects males|
 +==== Other Findings ====
   * OCA1A: No pigment of hair or skin, coarse rough skin, unpigmented nevi, solar keratoses (premalignant) basal cell or squamous cell carcinomas (actually quite rare due to good prevention), skin melanocytes are present but melanoma rare   * OCA1A: No pigment of hair or skin, coarse rough skin, unpigmented nevi, solar keratoses (premalignant) basal cell or squamous cell carcinomas (actually quite rare due to good prevention), skin melanocytes are present but melanoma rare
   * OCA1B: white to very light hair and skin at birth with variable amounts of darkening, pigmented nevi and freckles can develop   * OCA1B: white to very light hair and skin at birth with variable amounts of darkening, pigmented nevi and freckles can develop
   * OCA2: Pigmented hair at birth, no generalized skin pigmentation but pigmented nevi and freckles can develop   * OCA2: Pigmented hair at birth, no generalized skin pigmentation but pigmented nevi and freckles can develop
   * OCA4: Variable pigmentation of skin and hair, similar to OCA2   * OCA4: Variable pigmentation of skin and hair, similar to OCA2
-  * Hermansky-Pudlak syndrome: lethal subtype +  * [[hermansky_pudlak_syndrome|Hermansky-Pudlak syndrome]] 
-  * Chediak-Higashi syndrome: lethal subtype +    * Potentially lethal subtype 
-  * OA1: giant melanosomes on skin biopsy if preformed, defect is in melanosome production, can have late onset sensorineural deafness, female carriers have mosaic pigmentation of peripheral fundus +    * Bleeding diathesis 
-  * OA2: Families from Aland Islands in the Sea of Bothnia, female carriers do not have a mosaic pattern, possibly a type of CSNB (310500), (Xp11.4-p11.23) OMIM: 300600, +    * Pulmonary Fibrosis 
-  * OA3: ocular albinism that is autosomal recessive: OMIM: 203310 (6q13-q15) or (15q11.2-q12) +    * Granulomatous colitis 
-  * OA with sensorineural deafness: OMIM: 103470 (11q14-q21, 3p14.1-p12.3) +  * [[chediak_higashi_syndrome|Chediak-Higashi syndrome]] 
-    * Waardenberg Syndrome type II with ocular albinism, mutation in the transcription factor MITF which regulates the TYR gene+    * Potentially lethal subtype 
 +    * Congenital Immunodeficiency causing infections of skin and respiratory tract 
 +    * Bleeding Diathesis 
 +    * Progressive Neurodegeneration 
 + 
 ==== References ==== ==== References ====
  
-  * Duane's Ophthalmology: Traboulsi EI, Green WR, O'Donnell Jr FE,.The eye in Albinism. 1998 CD ROM edition.+  * [[https://childrenseye.org/duanes/pages/v4/v4c038.html|Duane's Ophthalmology: An Overview of Albinism and Its Visual System Manifestations by ELIAS I. TRABOULSI and W. RICHARD GREEN. 2006]]
   * Creel DJ, Summers CG, King RA. Visual anomalies associated with albinism. Ophthalmic Paediatr Genet 11:193-200,1990   * Creel DJ, Summers CG, King RA. Visual anomalies associated with albinism. Ophthalmic Paediatr Genet 11:193-200,1990
   * [[http://www.ncbi.nlm.nih.gov/books/NBK1166/|OCA1 GeneReview]]   * [[http://www.ncbi.nlm.nih.gov/books/NBK1166/|OCA1 GeneReview]]
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   * [[http://www.ncbi.nlm.nih.gov/books/NBK1343/|X-linked OA GeneReview]]   * [[http://www.ncbi.nlm.nih.gov/books/NBK1343/|X-linked OA GeneReview]]
  
-{{tag>syndrome}}+{{tag>syndrome albinism}}