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Mirzashahi, Babak, Tafakhori, Abbas, Najafi, Arvin, Farzan, Mahmoud. (1395). Neglected Alkaptonuric Patient Presenting with Steppage Gait. , 4(2), 188-191. doi: 10.22038/abjs.2016.6023
Babak Mirzashahi; Abbas Tafakhori; Arvin Najafi; Mahmoud Farzan. "Neglected Alkaptonuric Patient Presenting with Steppage Gait". , 4, 2, 1395, 188-191. doi: 10.22038/abjs.2016.6023
Mirzashahi, Babak, Tafakhori, Abbas, Najafi, Arvin, Farzan, Mahmoud. (1395). 'Neglected Alkaptonuric Patient Presenting with Steppage Gait', , 4(2), pp. 188-191. doi: 10.22038/abjs.2016.6023
Mirzashahi, Babak, Tafakhori, Abbas, Najafi, Arvin, Farzan, Mahmoud. Neglected Alkaptonuric Patient Presenting with Steppage Gait. , 1395; 4(2): 188-191. doi: 10.22038/abjs.2016.6023

Neglected Alkaptonuric Patient Presenting with Steppage Gait

The Archives of Bone and Joint Surgery
مقاله 20، دوره 4، شماره 2، تیر 2016، صفحه 188-191    اصل مقاله (723.41 K)
نوع مقاله: CASE REPORT
شناسه دیجیتال (DOI): 10.22038/abjs.2016.6023
نویسندگان
Babak Mirzashahi* 1؛ Abbas Tafakhori2؛ Arvin Najafi1؛ Mahmoud Farzan1
1Joint Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
2Tehran University of Medical Sciences, Tehran, Iran
چکیده
 
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.
 
 
کلیدواژه‌ها
Alkaptonuria؛ Black disc material؛ Herniation؛ Lumbar disc؛ Ochronosis؛ Steppage gait
مراجع
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