Neglected Alkaptonuric Patient Presenting With Steppage Gait

Neglected Alkaptonuric Patient Presenting With Steppage Gait

Mirzashahi B¹ ; Najafi A¹ ; Farzan M¹ ; Tafakhori A²

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1. Joint Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
2. Tehran University of Medical Sciences, Tehran, Iran

Source: Archives of Bone and Joint Surgery Published:2016

Abstract

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. ©BY THE ARCHIVES OF BONE AND JOINT SURGERY.

Style	Citing Format
MLA	Mirzashahi B, et al.. "Neglected Alkaptonuric Patient Presenting With Steppage Gait." Archives of Bone and Joint Surgery, vol. 4, no. 2, 2016, pp. 188-191.
APA	Mirzashahi B, Najafi A, Farzan M, Tafakhori A (2016). Neglected Alkaptonuric Patient Presenting With Steppage Gait. Archives of Bone and Joint Surgery, 4(2), 188-191.
Chicago	Mirzashahi B, Najafi A, Farzan M, Tafakhori A. "Neglected Alkaptonuric Patient Presenting With Steppage Gait." Archives of Bone and Joint Surgery 4, no. 2 (2016): 188-191.
Harvard	Mirzashahi B et al. (2016) 'Neglected Alkaptonuric Patient Presenting With Steppage Gait', Archives of Bone and Joint Surgery, 4(2), pp. 188-191.
Vancouver	Mirzashahi B, Najafi A, Farzan M, Tafakhori A. Neglected Alkaptonuric Patient Presenting With Steppage Gait. Archives of Bone and Joint Surgery. 2016;4(2):188-191.
BibTex	@article{ author = {Mirzashahi B and Najafi A and Farzan M and Tafakhori A}, title = {Neglected Alkaptonuric Patient Presenting With Steppage Gait}, journal = {Archives of Bone and Joint Surgery}, volume = {4}, number = {2}, pages = {188-191}, year = {2016} }
RIS	TY - JOUR AU - Mirzashahi B AU - Najafi A AU - Farzan M AU - Tafakhori A TI - Neglected Alkaptonuric Patient Presenting With Steppage Gait JO - Archives of Bone and Joint Surgery VL - 4 IS - 2 SP - 188 EP - 191 PY - 2016 ER -

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Abstract