Visual Corner
 
A Case Of Oculocutaneous Albinism
 

Dr. Esmail sait M.D(hom)
Former Principal, Calicut Homoeopathic Medical College
Jameel 5/1333, Kottaram Road
Nadakavu, Calicut 6730006
Phone:0495-2766551 Mobile 98461-38964
EML: saitdr@rediffmail.com


Introduction

       Dr.Esmail Sait is well known to every body in the field. He is an eminent practitioner and leading academician, presented many scientific papers in national and international seminars. He presented his speech in “Derma 97” organized by Tamil Nadu Homoeopathic Association in 1997. He presented this excellent cure during his presentation, which was well appreciated by all. Here we give the case presented by him.

CASE STUDY:
A female child aged 4 months was brought to me for hypo pigmentation of skin over whole body, hair and iris since birth.It was provisionally diagnosed as Oculocutaneous Albinism. (Type not identified due to lack of laboratory test).
Past History:
Nothing significant.
Family History:
Nothing significant.
Personal History:
Appetite- good
Bowel- regular
Bladder- regular
Sleep- good
Perspiration- more over scalp and forehead
Treatment:
First Prescription 19.5.92
Syphilinum 10m/ 1dose, PL one pill t.i.d for 45 days
Follow ups 02.7.92
Calcarea carb 1m/ 2dose, PL one pill t.i.d for one month.Calcarea carb 1m was repeated for further two more months, then Calc.carb 10m, 50m and Cm potency interspersed with saclac.By first year of starting treatment the iris became pigmented.
The photographs taken before and after are published in visual corner (Back Wrapper)
Discussion:
It’s said that Tyrosinase positive child will gain pigmentation in later years but here the child gained iris pigmentation by one year.

Oculocutaneous Albinism

DESCRIPTION:
Oculocutaneous Albinism is characterized by little or no melanin in the skin and eyes. There are two main types,
A: Tyrosinase negative.
B: Tyrosinase positive.
Both are inherited as autosomal recessive traits, the abnormal Gene for each type being found on different chromosomes.
Clinical Features:
At birth the whole skin is white, pigment is also deficient in hair, iris and retina. Albinos have poor vision photophobia and rotatory nystagmus, sunburn is common.
As Tyrosinase positive grow older they gain a little pigment so their hair becomes straw colored, their iries less translucent and their skin slightly freckled. As melanocytes are present albinos have non pigment melanocytic naevi and may develop A-melanotic malignant melanomas. Other skin tumors are also common in albinos living in tropics.