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We performed single nucleotide polymorphism array analysis in a boy with oculocutaneous albinism to identify copy\u2010neutral regions of homozygosity harboring genes involved in melanin biosynthesis. An unanticipated homozygous deletion of chromosome 5p13.3 was discovered, encompassing not only the OCA gene <jats:italic>SLC45A2<\/jats:italic>, but also four additional genes. This led to an unexpected presymptomatic diagnosis of alpha\u2010methylacyl\u2010CoA racemase deficiency in the same patient. \u00a9 2012 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ajmg.a.35611","type":"journal-article","created":{"date-parts":[[2012,9,17]],"date-time":"2012-09-17T20:33:25Z","timestamp":1347914005000},"page":"2931-2934","source":"Crossref","is-referenced-by-count":14,"title":["Incidental finding of alpha\u2010methylacyl\u2010CoA racemase deficiency in a patient with oculocutaneous albinism type 4"],"prefix":"10.1002","volume":"158A","author":[{"given":"Judith M.A.","family":"Verhagen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan G.","family":"Huijmans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rutger 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