“…4 Since then, many patients have been described with variable phenotypes, from complete absence of pigmentation to subtle hypopigmentation only. 1,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29 World prevalence of OCA4 is estimated around 1:100.000, which is 3-19% of all OCA cases. 5,17,30,7,14,15,24,25,31,32 In Japan OCA4 is more common, with a frequency of 27% of all OCA cases.…”