Neglected Alkaptonuric Patient Presenting with Steppage Gait

Mirzashahi, Babak and Tafakhori, Abbas and Najafi, Arvin and Farzan, Mahmoud (2016) Neglected Alkaptonuric Patient Presenting with Steppage Gait. The Archives of Bone and Joint Surgery, 4 (2). pp. 188-191.

ABJS_Volume 4_Issue 2_Pages 188-191.pdf

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 Even though intervertebral disc degeneration can be found in the natural course of alkaptonuria, detection of the disease by black disc color change in a patient without any other presentation of alkaptonuria is an exceptionally rare condition. We have reported a very rare case of alkaptonuria presented with low back pain and steppage gait in a 51-year-old male with a complaint of chronic low-back pain and steppage gait who was operated on for prolapsed lumbar disc herniation. Intraoperatively his lumbar disk was discovered to be black. The alkaptonuria diagnosis was considered after histopathological examination of the black disc material and elevated urinary concentration of homogentisic acid confirmed the diagnosis. To our knowledge, this presentation has not been reported previously in literature.  Â

Item Type: Article
Subjects: WE Musculoskeletal system
WO Surgery
Divisions: Journals > Archives of Bone & Joint Surgery
Depositing User: abjs abjs
Date Deposited: 24 Sep 2017 15:06
Last Modified: 24 Sep 2017 15:06

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