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oculocutaneous albinism type VII
Description
Oculocutaneous Albinism Type VII (OCA7): A Rare Condition
Oculocutaneous albinism type VII, also known as OCA7, is a rare and autosomal recessive hypopigmentation disorder that primarily affects the eyes. The condition is characterized by:
- Predominant eye involvement: Nystagmus, iris transillumination, and visual acuity ranging from 6/9 to 3/60 are common features of OCA7 [1][2].
- Skin and hair hypopigmentation: Patients with OCA7 often exhibit reduced or absent melanin pigment in their skin and hair [3][4].
- Rare form of albinism: OCA7 is one of the nine known non-syndromic types of albinism, making it a rare condition [5].
Key Features
- Nystagmus (involuntary eye movement)
- Iris transillumination (abnormal transparency of the iris)
- Visual acuity ranging from 6/9 to 3/60
- Skin and hair hypopigmentation
References
[1] Oculocutaneous albinism type VII (OCA7) is an autosomal recessive hypopigmentation disorder with predominant eye involvement including nystagmus, iris transillumination, and visual acuity ranging from 6/9 to 3/60. [Context #1]
[2] Oculocutaneous albinism type VII (OCA7) is an autosomal recessive hypopigmentation disorder with predominant eye involvement including nystagmus, iris transillumination... [Context #2]
[3] Oculocutaneous albinism type 7 (OCA7), formerly called OCA5, is a form of oculocutaneous albinism (OCA) characterized by skin and hair hypopigmentation... [Context #6]
[4] A group of rare, inherited disorders in which the skin, hair, and eyes have little or no melanin (pigment). [Context #9]
[5] Oculocutaneous albinism type seven (OCA7) is one of nine known non-syndromic types of albinism (OCA1-8 and OA1), and is one of the rarest forms... [Context
Additional Characteristics
- Nystagmus
- Skin and hair hypopigmentation
- Iris transillumination
- 60
Signs and Symptoms
Oculocutaneous albinism type VII (OCA7) is a rare inherited disorder that affects the pigmentation of the skin, hair, and eyes. Individuals with OCA7 may experience the following signs and symptoms:
- Decreased pigment in the skin, hair, and eyes: People with OCA7 have very light-colored skin, hair, and eyes due to reduced melanin production [1].
- Vision problems: OCA7 can cause nystagmus (involuntary eye movements), photophobia (sensitivity to light), and decreased sharpness of vision [3][6].
- Predominant eye involvement: The condition primarily affects the eyes, with symptoms such as nystagmus, iris hypopigmentation, and vision problems [7][8].
It's essential to note that OCA7 is a rare disorder, and its signs and symptoms may vary from person to person. If you or someone you know has been diagnosed with OCA7, it's crucial to consult with a healthcare professional for proper diagnosis and treatment.
References: [1] - Context result 7 [3] - Context result 3 [6] - Context result 6 [7] - Context result 7 [8] - Context result 8
Additional Symptoms
- Photophobia (sensitivity to light)
- Nystagmus (involuntary eye movements)
- Vision problems
- Decreased pigment in the skin, hair, and eyes
- Decreased sharpness of vision
- Iris hypopigmentation
Diagnostic Tests
Diagnostic Tests for Oculocutaneous Albinism Type VII
Oculocutaneous albinism type VII (OCA7) is a rare genetic disorder characterized by skin and hair hypopigmentation, nystagmus, iris transillumination, and visual acuity ranging from 6/9 to 3/60. Diagnostic tests for OCA7 are crucial in confirming the diagnosis and ruling out other conditions with similar symptoms.
Physical Exam
A physical exam is a fundamental step in diagnosing OCA7. The exam includes checking skin and hair pigmentation, which may reveal hypopigmentation or light blond to dark brown coloration [5]. A thorough eye exam is also essential to assess visual acuity and detect any abnormalities in the eyes.
Genetic Testing
The most definitive test for determining the albinism type is genetic testing. This involves analyzing DNA samples from affected individuals to identify specific mutations associated with OCA7 [6, 7, 8]. Genetic tests may include:
- Targeted variant analysis
- Mutation scanning of select exons
- Sequence analysis of select exons
- Exome-based NextGen sequencing with CNV analysis
These genetic tests can help confirm the diagnosis and provide information on the underlying genetic cause of OCA7.
Other Diagnostic Tests
While not as definitive, other diagnostic tests may be used to support the diagnosis of OCA7. These include:
- Bleeding time test to assess platelet function
- Visual acuity testing to determine the extent of visual impairment
It's essential to note that a combination of these tests and a thorough medical history is necessary for an accurate diagnosis.
References
[1] Clinical resource with information about Oculocutaneous albinism type 7 and its clinical features, WDR45, LRMDA, available genetic tests from US and labs ...
[2] Oculocutaneous albinism type VII. ... Comment Form X. Disease definition.
[3] Oculocutaneous albinism is a group of conditions characterized by skin and hair hypopigmentation, nystagmus, iris transillumination, and visual acuity ranging from 6/9 to 3/60.
[4] Genetic tests related with Albinism, Oculocutaneous, Type Vii # Genetic test ... DOES NOT PROVIDE MEDICAL ADVICE AND SHOULD NOT BE USED IN DIAGNOSTIC PROCEDURES ...
[5] Diagnostic teams for Oculoc
Additional Diagnostic Tests
- Physical Exam
- Genetic Testing
- Visual acuity testing
- Bleeding time test
Treatment
Current Status of Drug Treatment for Oculocutaneous Albinism Type VII
As of now, there is no effective medical treatment available for oculocutaneous albinism type VII (OCA7) [1]. However, research has been conducted on potential treatments that may help improve the quality of life for individuals with this condition.
Nitisinone: A Promising Treatment Option
One such treatment being explored is nitisinone, which is FDA-approved for treating hereditary tyrosinemia type 1 [2][3]. Nitisinone has been shown to elevate plasma tyrosine levels and increase eye and hair pigmentation in individuals with albinism. While this treatment shows promise, it's essential to note that more research is needed to confirm its efficacy and safety for OCA7 specifically.
Current Focus on Quality of Life Improvements
Given the lack of a cure or effective treatment for albinism, the focus has shifted towards improving quality of life for individuals with this condition. This includes early assessment and correction of visual deficits, lifelong risk-factor modification, early detection, and management of associated complications [4][5].
International Albinism Awareness Day
It's worth noting that International Albinism Awareness Day (IAAD) is recognized annually on June 13th, serving as a platform for awareness, advocacy, and empowerment for patients with albinism [6]. This initiative highlights the importance of raising awareness about this rare condition and promoting support for those affected.
In summary, while there is no established drug treatment for oculocutaneous albinism type VII, research on potential treatments like nitisinone continues. The focus remains on improving quality of life for individuals with this condition through early intervention, risk-factor management, and awareness initiatives.
References:
[1] Search result 10 [2] Search result 9 [3] Search result 9 [4] Search result 12 [5] Search result 12 [6] Search result 13
Recommended Medications
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Differential Diagnosis
Oculocutaneous albinism type VII (OA7) is a rare genetic disorder characterized by the combination of oculocutaneous albinism and recurrent bacterial infections, including pyogenic infections. When considering differential diagnosis for OA7, several syndromic conditions that accompany albinism should be taken into account.
- Chediak-Higashi syndrome: This is another condition that presents with a combination of albinism and immune deficiency, leading to recurrent infections. It is characterized by the presence of large granular lymphocytes in the peripheral blood.
- Hermansky-Pudlak syndrome: This is a genetic disorder that affects the production of melanin, resulting in oculocutaneous albinism. It also presents with bleeding tendencies and immune system dysfunction.
In addition to these syndromes, other conditions such as Griscelli syndrome and Elejalde syndrome should be considered in the differential diagnosis of OA7. These conditions all present with a combination of albinism and immune deficiency, making them potential candidates for differential diagnosis.
It's worth noting that the presence of oculocutaneous albinism is a key feature of OA7, and any condition that presents with this symptom should be considered in the differential diagnosis. A thorough evaluation of the patient's medical history, physical examination, and laboratory results is necessary to determine the correct diagnosis.
References: [1] 3.1 (Differential) diagnostics: the tested person is clinically affected (to be answered if in 1.9 “A” was marked) A number of syndromic conditions accompany albinism including Hermansky ...
Additional Differential Diagnoses
Additional Information
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