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Published in: Skeletal Radiology 5/2019

01-05-2019 | Case Report

Alkaptonuria—an atypical case: multi-modality imaging review

Authors: Dillibabu Ethiraj, Venkatraman Indiran, Kannan Kanakaraj, T. Ramachandra Prasad, M. Prabakaran

Published in: Skeletal Radiology | Issue 5/2019

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Abstract

Alkaptonuria is a rare inborn metabolic disorder due to a mutation in the homogentisic acid oxidase enzyme (HGO) gene on chromosome 3q. As HGO is deficient in alkaptonuria patients, there is an accumulation of homogentisic acid in the blood and urine. Homogentisic acid gets deposited in the soft tissues, tendons, cartilages, large joints and intervertebral discs. Ochronosis usually affects the dorsolumbar spine and typically spares the cervical spine and sacroiliac joints. However, in this case of isolated ochronosis, we report co-existent extensive cervical spine degenerative changes and cervical vertebral fusion, which has not been described in the literature so far.
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Metadata
Title
Alkaptonuria—an atypical case: multi-modality imaging review
Authors
Dillibabu Ethiraj
Venkatraman Indiran
Kannan Kanakaraj
T. Ramachandra Prasad
M. Prabakaran
Publication date
01-05-2019
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 5/2019
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-018-3104-4

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