GuidelinesPrimary Care STG
Albinism
Albinism
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E70.3
DESCRIPTION
- Congenital disorder characterised by the complete or partial absence of pigment in the skin, hair and eyes
- Albinism is associated with a number of visual symptoms or defects such as photophobia, nystagmus, strabismus, and amblyopia
- Lack of skin pigmentation increases a person’s susceptibility to sunburn and skin cancers
GENERAL MEASURES
To avoid sunburn and skin damage:
- Avoid sun exposure during periods of maximum intensity (i.e. between 10:00 and 15:00)
- Wear a wide-brimmed hat and long-sleeved top when exposed to the sun
- Wear sunscreens with a high sun protection factor (SPF); a SPF of between 20 and 30 will provide adequate protection. The product should also provide protection against both UVA and UVB rays
- To reduce photophobia and prevent retinal damage:
- Wear sunglasses that preferably have UV filters
- Check skin regularly for signs of skin cancer such as a new spot or growth on their skin
MEDICINE TREATMENT
- Zinc oxide, topical ointment
- Apply evenly to all sun exposed areas at least 15 minutes before going out into the sun
LoE: IVb34
OR
- High potency (SPF) sunblock, topical (UV block)
- Apply evenly to all sun exposed areas at least 15 minutes before going out into the sun
LoE: IVb35
REFERRAL
- To dermatologist for regular skin checks
- To ophthalmologist for visual rehabilitation and regular eye checks
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare, 2020-2024_Version 1.0_07 November 2024
Chapter 5: Skin Conditions_
5.18 Hypopigmentory disorders_5.18.1 Albinism