Albinism

ByShinjita Das, MD MPH, Massachusetts General Hospital
Reviewed/Revised Aug 2024
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Albinism is a rare hereditary disorder in which little or none of the skin pigment melanin is formed. The skin, hair, and eyes, or sometimes just the eyes, are affected.

  • In affected people, the hair and skin are white, and the eyes may be pink or pale blue-gray.

  • Doctors usually diagnose albinism by examining the skin and eyes.

  • There is no cure, but people with albinism should protect themselves from sunlight to prevent sunburn and reduce risk of skin cancer.

(See also Overview of Skin Pigment.)

Albinism is a disorder of skin pigmentation that occurs in people of all races and throughout the world. It is caused by several rare genetic abnormalities that, in addition to causing hypopigmentation (an abnormally low amount of melanin) or depigmentation (complete loss of pigment) of the skin, also affect the eyes and cause sensitivity to light, decreased vision, misalignment of the eyes (strabismus), and involuntary eye movements (nystagmus).

A type of albinism, called ocular albinism, affects the eyes but usually not the skin and hair.

Another type of albinism occurs with bleeding disorders.

Symptoms of Albinism

People who have albinism typically have noticeably white hair, pale or white skin, and pink or pale blue-gray eyes.

People's eyes are very sensitive to light and they often try to avoid bright light.

Albinism (Eye Symptoms)
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Albinism that affects the eyes (ocular albinism) can cause too little color in the eyes.
BSIP, KOKEL/SCIENCE PHOTO LIBRARY

People who have less typical types of albinism may have some color to their skin, their hair may be somewhat red or golden, and/or their eyes may be blue or brown.

Albinism (Skin Symptoms)
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Albinism, characterized by light hair (ranging from white to yellowish white) and pale skin, is caused by a lack of melanin.
Photo courtesy of Noah S. Scheinfeld, MD, and the Dermatology Online Journal.

Because melanin protects the skin from the sun, people with albinism are very prone to sunburn and skin cancer (especially squamous cell carcinoma). Even a few minutes of bright sunlight can cause serious sunburn.

Diagnosis of Albinism

  • A doctor's examination

Doctors base the diagnosis of albinism on an examination of the skin and eyes.

Sometimes it is difficult to distinguish between the different types of albinism, so genetic testing may be helpful.

Treatment of Albinism

  • Sun protection

  • For strabismus, surgery

No treatment reverses albinism.

Because people with albinism are at increased risk of skin cancers, they should have regular skin examinations and must take steps to prevent sunburn and decrease their risk of skin cancer, including doing the following:

  • Staying out of direct sunlight

  • Wearing sunglasses with ultraviolet (UV) protection

  • Wearing sun-protective clothing with an ultraviolet protection factor (UPF) rating of 50 or higher

  • Applying sunscreen that blocks UVA and UVB light with a sun protection factor (SPF) rating of 50 or higher

Did You Know...

  • Albinism occurs in people of all races.

The degree to which clothing protects against UV light varies. Generally, the tighter the weave and the heavier the weight, the more protection a fabric provides. Clothing can also be treated with a substance that temporarily increases its UPF. UPF clothing has become more comfortable and easier to find at most sporting goods stores and many other retailers. Clothing with higher ratings provides greater protection.

Doctors can correct strabismus with a surgical procedure.

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