Raras
Buscar doenças, sintomas, genes...
Alcaptonúria
ORPHA:56CID-10 · E70.2CID-11 · 5C50.10OMIM 203500DOENÇA RARA

Doença metabólica caracterizada pelo acúmulo de ácido homogentísico (HGA) e seu produto oxidado, ácido benzoquinona acético (BQA), em vários tecidos (por exemplo, cartilagem, tecido conjuntivo) e fluidos corporais (urina, suor), causando escurecimento da urina quando exposta ao ar, bem como coloração cinza-azulada da esclera e da hélice da orelha (ocronose), e uma doença articular incapacitante envolvendo as articulações axiais e periféricas (artropatia ocronótica).

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Introdução

O que você precisa saber de cara

📋

Doença metabólica caracterizada pelo acúmulo de ácido homogentísico (HGA) e seu produto oxidado, ácido benzoquinona acético (BQA), em vários tecidos (por exemplo, cartilagem, tecido conjuntivo) e fluidos corporais (urina, suor), causando escurecimento da urina quando exposta ao ar, bem como coloração cinza-azulada da esclera e da hélice da orelha (ocronose), e uma doença articular incapacitante envolvendo as articulações axiais e periféricas (artropatia ocronótica).

Pesquisas ativas
2 ensaios
10 total registrados no ClinicalTrials.gov
Publicações científicas
1.187 artigos
Último publicado: 2026 Apr 10
Medicamentos
1 registrados
NITISINONE

Tem tratamento?

1 medicamento registrado
Ver detalhes, fases e interações →
NITISINONE

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Início
Adult
+ infancy
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: E70.2
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (6)
0202010279
Dosagem de aminoácidos (erros inatos)metabolic_test
0202010295
Dosagem de ácidos orgânicos na urinagenetic_test
0202010490
Teste de triagem para erros inatos do metabolismonewborn_screening
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202080013
Teste do pezinho (triagem neonatal)
0301070040
Atendimento em reabilitação — doenças raras
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🦴
Ossos e articulações
12 sintomas
❤️
Coração
8 sintomas
👁️
Olhos
4 sintomas
🫘
Rins
4 sintomas
🧬
Pele e cabelo
3 sintomas
📏
Crescimento
2 sintomas

+ 29 sintomas em outras categorias

Características mais comuns

100%prev.
Urina escura
Frequência: 13/13
100%prev.
Ocronose
Frequência: 58/58
100%prev.
Ácido homogentísico urinário elevado
Frequência: 58/58
94%prev.
Dor lombar
Frequência: 33/35
90%prev.
Calcificação do disco intervertebral
Muito frequente (99-80%)
90%prev.
Anormalidade auditiva
Muito frequente (99-80%)
65sintomas
Muito frequente (17)
Frequente (17)
Ocasional (22)
Muito raro (2)
Sem dados (7)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 65 características clínicas mais associadas, ordenadas por frequência.

Urina escuraDark urine
Frequência: 13/13100%
OcronoseOchronosis
Frequência: 58/58100%
Ácido homogentísico urinário elevadoElevated urinary homogentisic acid
Frequência: 58/58100%
Dor lombarLow back pain
Frequência: 33/3594%
Calcificação do disco intervertebralIntervertebral disk calcification
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico1.187PubMed
Últimos 10 anos200publicações
Pico202258 papers
Linha do tempo
2026Hoje · 2026🧪 2000Primeiro ensaio clínico📈 2022Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.

HGDHomogentisate 1,2-dioxygenaseDisease-causing germline mutation(s) (loss of function) inTolerante
FUNÇÃO

Catalyzes the conversion of homogentisate to maleylacetoacetate

LOCALIZAÇÃO

VIAS BIOLÓGICAS (1)
Tyrosine catabolism
MECANISMO DE DOENÇA

Alkaptonuria

An autosomal recessive error of metabolism characterized by an increase in the level of homogentisic acid. The clinical manifestations are urine that turns dark on standing and alkalinization, black ochronotic pigmentation of cartilage and collagenous tissues, and spine arthritis.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Tecido-específico)
Fígado
186.2 TPM
Tireoide
52.3 TPM
Rim - Córtex
44.3 TPM
Próstata
30.3 TPM
Rim - Medula
26.1 TPM
OUTRAS DOENÇAS (1)
alkaptonuria
HGNC:4892UniProt:Q93099

Medicamentos e terapias

NITISINONEPhase 3

Mecanismo: 4-hydroxyphenylpyruvate dioxygenase inhibitor

Ver mais no OpenTargets

Variantes genéticas (ClinVar)

323 variantes patogênicas registradas no ClinVar.

🧬 HGD: NM_000187.4(HGD):c.2T>C (p.Met1Thr) ()
🧬 HGD: NM_000187.4(HGD):c.986del (p.Phe329fs) ()
🧬 HGD: NM_000187.4(HGD):c.781del (p.Ser261fs) ()
🧬 HGD: NM_000187.4(HGD):c.146del (p.Phe49fs) ()
🧬 HGD: NM_000187.4(HGD):c.282+1G>A ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 597 variantes classificadas pelo ClinVar.

209
179
209
Patogênica (35.0%)
VUS (30.0%)
Benigna (35.0%)
VARIANTES MAIS SIGNIFICATIVAS
HGD: NM_000187.4(HGD):c.2T>C (p.Met1Thr) [Pathogenic]
HGD: NM_000187.4(HGD):c.986del (p.Phe329fs) [Pathogenic]
HGD: NM_000187.4(HGD):c.781del (p.Ser261fs) [Pathogenic]
HGD: NM_000187.4(HGD):c.146del (p.Phe49fs) [Pathogenic]
HGD: NM_000187.4(HGD):c.282+1G>A [Likely pathogenic]

Vias biológicas (Reactome)

1 via biológica associada aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
3Fase 33
2Fase 22
·Pré-clínico5
Medicamentos catalogadosEnsaios clínicos· 1 medicamento · 9 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Alcaptonúria

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

1 pesquisa recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

10 ensaios clínicos encontrados, 2 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
470 papers (10 anos)
#1

[Intraoperative diagnosis of alkaptonuria during lumbar disc surgery: A case report].

Deutsche medizinische Wochenschrift (1946)2026 Jan

A 56-year-old man presented with low back pain radiating to the left leg.CT of the lumbar spine revealed reduced disc height and a vacuum phenomenon. MRI demonstrated a left-sided disc herniation at L3-L4, considered the cause of symptoms. Intraoperatively, however, the disc material appeared unusually dark and pigmented.Histological analysis confirmed ochronotic pigment deposits, leading to the diagnosis of alkaptonuria (AKU).The surgical procedure was completed as planned. Postoperatively, the patient was referred for further internal medicine evaluation and genetic counselling.When encountering atypically pigmented tissue, surgeons should consider rare metabolic disorders such as AKU, allowing early diagnosis and appropriate long-term management. Ein 56-jähriger Mann stellte sich mit lumbalen Schmerzen vor, die in das linke Bein ausstrahlten.Die CT der Lendenwirbelsäule zeigte eine verminderte Höhe der Bandscheibenräume und ein Vakuumphänomen. Die MRT offenbarte einen linksseitigen Bandscheibenvorfall auf Höhe L3–L4 als Ursache der Beschwerden. Intraoperativ zeigte das Bandscheibenmaterial eine ungewöhnlich dunkle Pigmentierung.Histologisch wurden ochronotische Pigmenteinlagerungen nachgewiesen, wodurch die Diagnose einer Alkaptonurie (AKU) gestellt wurde.Der Eingriff wurde regulär beendet. Postoperativ erfolgte die Empfehlung zur internistischen Abklärung und genetischen Beratung.Bei atypisch pigmentiertem Gewebe sollten Chirurg*innen seltene Stoffwechselerkrankungen wie AKU in Betracht ziehen, um eine frühzeitige Diagnosestellung und eine gezielte Langzeitbetreuung zu ermöglichen.

#2

Ocular Ochronosis in Alkaptonuria: Two Case Reports.

Klinische Monatsblatter fur Augenheilkunde2026 Mar 17
#3

Intermittent dark urine in a school-aged boy: a case of alkaptonuria.

Kidney international2026 Jan
#4

Functional Characterization of HGD Gene Variants by Minigene Splicing Assay.

International journal of molecular sciences2025 Oct 31

The HGD gene encodes homogentisate 1,2-dioxygenase. A deficiency of this enzyme causes alkaptonuria (AKU; OMIM 203500), a monogenic autosomal recessive metabolic disorder. The global incidence of alkaptonuria is estimated at 1 in 250,000 to 1,000,000 live births. A large number of pathogenic nucleotide variants disrupt pre-mRNA splicing, leading to hereditary diseases. Many potentially splice-disruptive variants, including those in coding regions, remain uncharacterized. This lack of data makes clinical interpretation more difficult and can complicate diagnosis. We systematically analyzed 27 HGD variants predicted to affect splicing. Candidate variants from public databases (ClinVar, HGDdatabase) and our patient cohort were prioritized using in silico splicing predictions and evaluated with a minigene splicing assay in HEK293T cells. Based on the obtained functional analysis data, the variants were reclassified according to ACMG/AMP guidelines. In total, 13 variants changed their classification (9 were upgraded and 4 were downgraded), while 5 variants retained their pathogenicity class after analysis. Ten missense/nonsense variants were not reclassified, as no significant splicing disruption was detected. These findings improve the pathogenicity assessment of HGD variants, support more accurate diagnosis, and lay the foundation for future therapeutic strategies targeting splicing defects in AKU.

#5

From black urine to bladder obstruction: multidisciplinary management of extensive stone formation in alkaptonuria.

BMJ case reports2025 Nov 12

Alkaptonuria, although rare, can lead to severe multisystemic manifestations, including progressive ochronosis and extensive urological complications. This case highlights an unusually diffuse stone burden involving the entire urinary tract, emphasising the importance of early recognition of classic signs such as dark urine and joint stiffness. Timely biochemical confirmation and imaging can aid in the appropriate diagnosis. Management requires a multidisciplinary approach encompassing metabolic control, surgical intervention and long-term follow-up. Greater awareness of this condition among clinicians can prevent delays in diagnosis and reduce morbidity through proactive monitoring and individualized therapeutic strategies.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC819 artigos no totalmostrando 193

2026

Ocular Ochronosis in Alkaptonuria: Two Case Reports.

Klinische Monatsblatter fur Augenheilkunde
2025

Effect of Nitisinone on Aortic Stenosis Disease Progression in Patients With Alkaptonuria: An Analysis of the Suitability of Nitisinone in Alkaptonuria (SONIA) 2 Study.

Cureus
2025

Evaluation of Patients Diagnosed with Inherited Metabolic Diseases in Adulthood.

Sisli Etfal Hastanesi tip bulteni
2026

[Intraoperative diagnosis of alkaptonuria during lumbar disc surgery: A case report].

Deutsche medizinische Wochenschrift (1946)
2026

Intermittent dark urine in a school-aged boy: a case of alkaptonuria.

Kidney international
2025

Femoral head ochronotic pigmentation in a patient with alkaptonuria and secondary hip osteoarthritis.

ARP rheumatology
2025

Harliku (nitisinone): first FDA-approved disease-modifying therapy for alkaptonuria.

Annals of medicine and surgery (2012)
2025

Polychondritis and Arthritis in a Patient with Coexisting Alkaptonuria and Psoriasis Vulgaris.

Internal medicine (Tokyo, Japan)
2025

Early-Onset Degenerative Bone Changes as a Manifestation of Alkaptonuria: A Case Report.

Cureus
2025

Clinical and molecular characteristics of Chinese patients with alkaptonuria: 4-year follow-up of a pediatric patient and literature review.

Molecular genetics and metabolism reports
2025

A Dark Turn in the OR: Incidental Discovery of Ochronosis during Trauma Surgery: A Case Report.

Journal of orthopaedic case reports
2025

Alkaptonuria and Cervical Disc Herniation: Case Report.

International journal of spine surgery
2025

Molecular Analysis of the HGD Gene in 9 Families With Alkaptonuric Ochronosis in Iran and Identification of Two Novel Variants.

Molecular genetics &amp; genomic medicine
2025

Clinical Images: Alkaptonuria: a conundrum.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2025

Functional Characterization of HGD Gene Variants by Minigene Splicing Assay.

International journal of molecular sciences
2025

From black urine to bladder obstruction: multidisciplinary management of extensive stone formation in alkaptonuria.

BMJ case reports
2025

Cervicosacral stabilisation in alkaptonuria: seven-year surgical management of multisystem ochronosis including joint arthroplasties.

BMJ case reports
2025

Surgical management of spinal ochronosis: A case series of surgical interventions and outcomes.

Musculoskeletal surgery
2025

A Rare Diagnosis in a Resource-Limited Setting: Alkaptonuria in a Young Dominican Child.

Cureus
2025

Rheumatic manifestations of alkaptonuria: clinical, genetic and capillaroscopic characterisation of a referral centre cohort reveals new capillaroscopic marker of the disease.

Seminars in arthritis and rheumatism
2025

Ochronotic Deposition in Alkaptonuria: Semiquinone-Mediated Oxidative Coupling and Metabolic Drivers of Homogentisic Acid Accumulation.

International journal of molecular sciences
2025

Cardiac Manifestations of Alkaptonuria: Aortic Valve Stenosis and Coronary Artery Disease in a 63-Year-Old Patient.

JACC. Case reports
2025

Development of a radiographic vertebral severity score for evaluation of disease progression in alkaptonuria.

Molecular genetics and metabolism
2025

Musculoskeletal Manifestations of Alkaptonuria: A Case-Based Review of Literature.

Cureus
2025

Combined alkaptonuria and osteoporosis contributing to chronic back pain.

Endocrinology, diabetes &amp; metabolism case reports
2025

Total Joint Arthroplasty in Ochronotic Arthritis of Lower Extremities.

Indian journal of orthopaedics
2025

A robust bacterial high-throughput screening assay to identify pharmacological chaperones targeting human homogentisate 1,2-dioxygenase missense variants in alkaptonuria.

European journal of pharmacology
2025

Treatment of Ochronotic Osteoarthropathy and the Evaluation of Selected Lower Limb Muscle Properties, Including the Patellar Tendon: A Case Report and Mini Literature Review.

Journal of clinical medicine
2025

Video-Assisted Minimally Invasive Endoscopic Aortic Valve Replacement in a Patient With Alkaptonuria.

JACC. Case reports
2025

Alkaptonuria: a rare disorder associated with common conditions.

Internal and emergency medicine
2025

Transcatheter Aortic Valve Implantation in Alkaptonuria-Аssociated Severe Aortic Stenosis: A 2.5-Year Follow-Up Case Report and Literature Review.

Life (Basel, Switzerland)
2025

Diagnosis of Inherited Metabolic Disease in Older Patients: A Systematic Literature Review.

Journal of inherited metabolic disease
2025

Deep Learning Study of Alkaptonuria Spinal Disease Assesses Global and Regional Severity and Detects Occult Treatment Status.

Journal of inherited metabolic disease
2025

Intraoperative Findings in Total Hip Arthroplasty Leading to a Diagnosis of Alkaptonuria in a Patient With Severe Hip Osteoarthritis Initially Attributed to Rheumatoid Arthritis: A Case Report.

Cureus
2025

A Comprehensive In Vitro and In Silico Approach for Targeting 4-Hydroxyphenyl Pyruvate Dioxygenase: Towards New Therapeutics for Alkaptonuria.

International journal of molecular sciences
2025

Analysis of Interactions Between Pyomelanin and the Extracellular Matrix in an Ex Vivo Turkey Tendon Model.

ChemistryOpen
2025

Efficacy and safety of Nitisinone for patients with alkaptonuria: A systematic review with metanalysis.

Molecular genetics and metabolism
2025

Anopheles mosquito survival and pharmacokinetic modeling show the mosquitocidal activity of nitisinone.

Science translational medicine
2025

From Chronic Use of Minocycline to Pigmented Unicuspid Aortic Valve: A Unique Single Case.

Methodist DeBakey cardiovascular journal
2025

First Documented Hip Replacement in a Palestinian Patient with Ochronotic Alkaptonuria Arthropathy: A Case Report.

Journal of orthopaedic case reports
2025

Short and Long-Term Outcomes of Liver Transplantation in Pediatric Patients With Inborn Errors of Metabolism: A Single-Center Study.

Pediatric transplantation
2025

Ochronotic arthropathy: skeletal manifestations and orthopaedic treatment.

EFORT open reviews
2025

Integrated Clinomics and Molecular Dynamics Simulation Approaches Reveal the SAA1.1 Allele as a Biomarker in Alkaptonuria Disease Severity.

Biomolecules
2025

Effectiveness of Kidney Transplantation in Treating Alkaptonuric Skin Ochronosis.

Journal of inherited metabolic disease
2025

Total Hip Arthroplasty in Ochronotic Arthropathy with quadriceps tear. A Case Report with a Review of the Literature.

Journal of orthopaedic case reports
2025

Alkaptonuria: Clinical Spectrum of a Diagnosed Case in Bahrain With a Literature Review.

Cureus
2025

Alkaptonuria. Description of 2 cases of a rare entity.

Revista clinica espanola
2025

Targeted and untargeted urinary metabolomics of alkaptonuria patients using ultra high-performance liquid chromatography-tandem mass spectrometry.

Journal of pharmaceutical and biomedical analysis
2025

Diagnosing alkaptonuria-related nephropathy with urine albumin analysis.

Pediatric nephrology (Berlin, Germany)
2025

Alkaptonuria presenting as lumbar degenerative disease: A case report and literature review.

Medicine
2025

Ochronotic Arthropathy of the Shoulder - A Rare Case Report.

Journal of orthopaedic case reports
2025

The effects of age and sex on active and passive hip range of motion in individuals with alkaptonuria.

Disability and rehabilitation
2024

Exploring the Osteoinductive Potential of Bacterial Pyomelanin Derived from Pseudomonas aeruginosa in a Human Osteoblast Model.

International journal of molecular sciences
2024

[Total hip arthroplasty secondary to ocronotic arthropathy. A case report].

Acta ortopedica mexicana
2024

Gene expression & biochemical analysis in alkaptonuria caused by a founder pathogenic variant across different age groups from India.

The Indian journal of medical research
2024

Ochronotic Arthropathy and Alkaptonuria (Ochronosis): Case Report.

Revista brasileira de ortopedia
2024

Alkaptonuria: a rare disease with multiorgan manifestation and a long-awaited diagnosis.

BMJ case reports
2024

Non-cemented Total Hip Arthroplasty in a Rare Case with Black Hip, A Case Report.

Advanced biomedical research
2025

An anatomical investigation of alkaptonuria: Novel insights into ochronosis of cartilage and bone.

Journal of anatomy
2024

Blackish Discoloration of Articular Cartilage during Total Knee Replacement; a Case Report.

Journal of orthopaedic case reports
2024

Finding ochronotic sclera and ear discoloration in a 75-year-old man leads to a diagnosis of alkaptonuria.

Lancet (London, England)
2024

Black tendon-identifying a rare autosomal recessive disorder: Intraoperative diagnosis of alkaptonuria: A case report.

SAGE open medical case reports
2024

Direct repair of the chronic ochronotic Achilles tendon rupture: a case report.

BMC musculoskeletal disorders
2024

Alkaptonuric Ochronosis: A case-based review.

Acta orthopaedica Belgica
2024

A case of alkaptonuria presenting with unexplained dark-stained diapers and spurious hyperoxaluria and proteinuria due to homogentisic acid interference.

Biochemia medica
2024

A heart so black: a case of alkaptonuric ochronosis of the aortic and mitral valves in a female patient with severe aortic valve stenosis and coronary artery disease.

Journal of surgical case reports
2024

Exogenous Ochronosis With Vitiligo: A Therapeutic Challenge.

Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI)
2024

An in vitro cell model for exploring inflammatory and amyloidogenic events in alkaptonuria.

Journal of cellular physiology
2024

Amyloid-like Aggregation Propensities of Metabolites- Homogentisic Acid, N-Acetyl Aspartic Acid and Isovaleric Acid.

Chembiochem : a European journal of chemical biology
2024

Evaluation of a casein glycomacropeptide-based protein substitute, in the dietary management of NTBC-induced tyrosinaemia in patients with alkaptonuria: A prospective open-label study.

Journal of human nutrition and dietetics : the official journal of the British Dietetic Association
2024

A rare differential diagnosis of aortic stenosis with a black aortic valve: A case report.

The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology
2024

HGA Triggers SAA Aggregation and Accelerates Fibril Formation in the C20/A4 Alkaptonuria Cell Model.

Cells
2024

Managing Alkaptonuria in Absence of Appropriate Medication: A Case Report and Review of Literature.

Clinical medicine &amp; research
2024

Pigmented eyelid lesions in alkaptonuria.

Orbit (Amsterdam, Netherlands)
2024

Anthropometric, Body Composition, and Nutritional Indicators with and without Nutritional Intervention during Nitisinone Therapy in Alkaptonuria.

Nutrients
2025

Perioperative anaesthetic management of an elderly high-risk male with cardiac ochronosis undergoing aortic valve replacement with coronary artery bypass graft: A case report.

Journal of perioperative practice
2024

Patient-reported outcomes and functional assessments of patients with Alkaptonuria in a 3-year Nitisinone treatment trial.

Molecular genetics and metabolism
2024

Avulsive Achilles Tendon Rupture in a Patient With Alkaptonuria: A Case Report.

Cureus
2025

Redefining a new frontier in alkaptonuria therapy with AI-driven drug candidate design via in- silico innovation.

Zeitschrift fur Naturforschung. C, Journal of biosciences
2024

Anaesthesia Considerations in a Case of Alkaptonuria Posted for Total Knee Arthroplasty.

Cureus
2024

Alkaptonuria: From Molecular Insights to a Dedicated Digital Platform.

Cells
2024

Ease of sutureless aortic valve replacement in a patient with unexpected ochronosis: a case report.

Journal of cardiothoracic surgery
2024

Alkaptonuria with Fracture Neck of Femur - A Case Report.

Journal of orthopaedic case reports
2024

Pseudofilariasis, a Presenting Sign of Alkaptonuria.

Cornea
2024

Joint replacement risk is markedly increased in alkaptonuria (AKU) in those with prior arthroplasty.

Molecular genetics and metabolism reports
2024

Disc-coloration of an ochronotic cervical intervertebral disc in a patient with alkaptonuria: Case report and review of the literature.

Clinical neurology and neurosurgery
2024

A shocking intraoperatively diagnosis of ochronotic knee arthropathy: a case report.

Annals of medicine and surgery (2012)
2024

Hepatobiliary circulation and dominant urinary excretion of homogentisic acid in a mouse model of alkaptonuria.

Journal of inherited metabolic disease
2024

Arthroplasty in Ochronotic Arthropathy: 3 Replacements in a Single Patient with a Long-term Follow-up of 11 Years.

Journal of orthopaedic case reports
2024

Surgical management of calcific valvular and coronary disease in a patient with alkaptonuria: a case report.

European heart journal. Case reports
2023

Alkaptonuria in an Elderly Presenting with Asynchronous Rupture of both Quadriceps Tendons and Chronic Kidney Failure: Case Report and Literature Review.

Journal of orthopaedic case reports
2023

Alkaptonuria Diagnosis Following a Discectomy: A Case Report.

Cureus
2023

Ochronotic Chondropathy: A Case Report.

Biomedicines
2023

Arthroscopic ankle arthrodesis in two alkaptonuria patients.

BMJ case reports
2023

Detection of homogentisic acid by electrospray ionization mass spectrometry.

Journal of clinical laboratory analysis
2023

Ochronotic arthropathy effectively treated with total hip and total knee arthroplasty: a case report.

Frontiers in medicine
2023

Alkaptonuria Presenting With Lumbar Disc Herniation: A Case Report.

Cureus
2023

Black Bone Disease: Ochronotic Arthritis Detected during Knee Arthroplasty.

Journal of bone metabolism
2022

[Alkaptonuria: evolution and course of the disease towards ochronotic arthropathy. Series of cases managed with joint replacement].

Acta ortopedica mexicana
2023

Homogentisate 1,2-dioxygenase (HGD) gene variants in young Egyptian patients with alkaptonuria.

Scientific reports
2023

Joint manifestations revealing inborn metabolic diseases in adults: a narrative review.

Orphanet journal of rare diseases
2023

Spondyloarthropathies That Mimic Ankylosing Spondylitis: A Narrative Review.

Clinical medicine insights. Arthritis and musculoskeletal disorders
2023

Acute-Onset Multifocal Hand Dysfunction Due to Alkaptonuria.

Journal of hand surgery global online
2023

Nitisinone Treatment Affects Biomarkers of Bone and Cartilage Remodelling in Alkaptonuria Patients.

International journal of molecular sciences
2023

Evaluation of Homogentisic Acid, a Prospective Antibacterial Agent Highlighted by the Suitability of Nitisinone in Alkaptonuria 2 (SONIA 2) Clinical Trial.

Cells
2023

Increased prevalence of Parkinson's disease in alkaptonuria.

JIMD reports
2023

Clinical presentation of 13 children with alkaptonuria.

Journal of inherited metabolic disease
2023

Biochemical and molecular confirmation of alkaptonuria in a Sumatran orangutan (Pongo abelii).

Molecular genetics and metabolism
2023

Localized argyria with pseudo-ochronosis: A report of two cases highlighting involvement of elastic fibers.

Journal of cutaneous pathology
2023

Bilateral Patellar Tendon Rupture Following Total Knee Arthroplasty in a Patient With Alkaptonuria: A Case Report.

Cureus
2023

Alkaptonuria - Past, present and future.

Advances in clinical chemistry
2023

Reverse Total Shoulder Arthroplasty in Alkaptonuric Shoulder: Case Presentation, Review of Literature, and Technical Considerations.

Orthopedic research and reviews
2023

A Previously Undiagnosed Case of Alkaptonuria in an 80-Year-Old Patient: A Case Report.

Cureus
2022

Total Hip Arthroplasty for Ochronosis: A Report of Three Cases.

Journal of orthopaedic case reports
2023

Exogenous Ochronosis With Ocular Involvement From Chronic Use of Teavigo.

Ophthalmic plastic and reconstructive surgery
2023

Clinical significance of hypouricemia in children and adolescents.

Pediatric nephrology (Berlin, Germany)
2024

Current Landscape on Development of Phenylalanine and Toxicity of its Metabolites - A Review.

Current drug safety
2023

Identification of Potential Inhibitors for the Treatment of Alkaptonuria Using an Integrated In Silico Computational Strategy.

Molecules (Basel, Switzerland)
2023

Hereditary Tyrosinemia Type 1 Mice under Continuous Nitisinone Treatment Display Remnants of an Uncorrected Liver Disease Phenotype.

Genes
2023

Nutritional interventions for patients with alkaptonuria: A minireview.

Endocrine regulations
2023

Structure-Function Relationship of Homogentisate 1,2-dioxygenase: Understanding the Genotype-Phenotype Correlations in the Rare Genetic Disease Alkaptonuria.

Current protein &amp; peptide science
2022

Ochronotic hip arthropathy - A case report.

Journal of orthopaedic case reports
2023

First decade anniversary of the United Kingdom National Alkaptonuria Centre.

JIMD reports
2024

Sclerouveitis as Part of Multiple Autoimmune Syndrome in a Patient with Alkaptonuria: A Case Report.

Ocular immunology and inflammation
2023

Total Knee Arthroplasty in Ochronosis: A Rare Condition.

Cureus
2023

Ochronotic arthropathy of bilateral hip joints: A case report.

World journal of clinical cases
2022

Total knee arthroplasty and physical therapy for arthropathy in alkaptonuria: A 4-year follow-up case report.

Frontiers in surgery
2022

Case report: Thoracolumbar spinal stenosis associated with alkaptonuria.

Frontiers in surgery
2023

Alkaptonuria: A rare cause of severe aortic stenosis treated by transcatheter aortic valve replacement.

Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology
2023

Bacterial quality of urinary tract in patients with alkaptonuria.

The American journal of the medical sciences
2023

Clinical development innovation in rare diseases: overcoming barriers to successful delivery of a randomised clinical trial in alkaptonuria-a mini-review.

Orphanet journal of rare diseases
2022

Dilemmas in the diagnosis and management of osteoporosis in a patient with alkaptonuria: Successful treatment with teriparatide.

Clinical case reports
2022

Untargeted NMR Metabolomics Reveals Alternative Biomarkers and Pathways in Alkaptonuria.

International journal of molecular sciences
2022

Effects of Nitisinone on Oxidative and Inflammatory Markers in Alkaptonuria: Results from SONIA1 and SONIA2 Studies.

Cells
2022

A robust bacterial high-throughput screening system to evaluate single nucleotide polymorphisms of human homogentisate 1,2-dioxygenase in the context of alkaptonuria.

Scientific reports
2022

Minocycline induced discoloration of the aortic intima and valve: A case report.

Journal of cardiac surgery
2022

Alkaptunuria; a case report.

International journal of surgery case reports
2022

Analysis of the Phenotype Differences in Siblings with Alkaptonuria.

Metabolites
2022

Comprehensive Biotransformation Analysis of Phenylalanine-Tyrosine Metabolism Reveals Alternative Routes of Metabolite Clearance in Nitisinone-Treated Alkaptonuria.

Metabolites
2022

Revisiting Quantification of Phenylalanine/Tyrosine Flux in the Ochronotic Pathway during Long-Term Nitisinone Treatment of Alkaptonuria.

Metabolites
2022

The Discovery of the Mode of Action of Nitisinone.

Metabolites
2023

Exogenous ochronosis successfully treated with the combination of intense pulsed light and fractional CO2 laser.

Anais brasileiros de dermatologia
2022

Radiological evolution of spinal disease in alkaptonuria and the effect of nitisinone.

RMD open
2022

Alkaptonuria: Response to low-dose nitisinone in two patients with a new mutation.

Medicina clinica
2022

Descemet's membrane folds in ochronosis: a case report.

Journal of medical case reports
2022

Determinants of tyrosinaemia during nitisinone therapy in alkaptonuria.

Scientific reports
2022

One-stage revision arthroplasty in a patient with ochronotic arthropathy accompanied by joint infection: A case report.

World journal of clinical cases
2022

HGDiscovery: An online tool providing functional and phenotypic information on novel variants of homogentisate 1,2- dioxigenase.

Current research in structural biology
2022

Ochronotic arthropathy in the context of spondyloarthritis differential diagnosis: a case-based review.

Rheumatology international
2022

Adequacy of nitisinone for the management of alkaptonuria.

Annals of medicine and surgery (2012)
2022

Comparing the Phenylalanine/Tyrosine Pathway and Related Factors between Keratopathy and No-Keratopathy Groups as Well as between Genders in Alkaptonuria during Nitisinone Treatment.

Metabolites
2022

Method development and validation for analysis of phenylalanine, 4-hydroxyphenyllactic acid and 4-hydroxyphenylpyruvic acid in serum and urine.

JIMD reports
2022

Association of alkaptonuria and low dose nitisinone therapy with cataract formation in a large cohort of patients.

JIMD reports
2022

Improving the clinical accuracy and flexibility of the Alkaptonuria severity score index.

JIMD reports
2022

Ocular Ochronosis in Alkaptonuria.

Ophthalmology
2022

Impact of Nitisinone on the Cerebrospinal Fluid Metabolome of a Murine Model of Alkaptonuria.

Metabolites
2023

In-vivo Aortic Valve of a Patient with Alkaptonuria.

Acta medica portuguesa
2022

Perioperative anesthetic challenges in Alkaptonuria patient with comorbid conditions.

Journal of anaesthesiology, clinical pharmacology
2022

Temporal adaptations in the phenylalanine/tyrosine pathway and related factors during nitisinone-induced tyrosinaemia in alkaptonuria.

Molecular genetics and metabolism
2022

Long-term follow-up of alkaptonuria patients: single center experience.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2022

Total Knee Replacement in Alkaptonuric Ochronosis.

Acta bio-medica : Atenei Parmensis
2022

[Ochronosis: A case report].

La Revue de medecine interne
2022

[Disease spectrum analysis of children with inherited metabolic diseases detected by gas chromatography-mass spectrometry of urinary organic acids].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2022

Case Report: First Documented Hip Arthroplasty on Chinese Patient with Ochronotic Arthropathy.

Frontiers in surgery
2022

Total Shoulder Reverse Arthroplasty in Alkaptonuria: An Effective Option to Treat a Complication of a Rare Disease.

Journal of orthopaedic case reports
2022

A novel mutation in the homogentisate 1,2 dioxygenase gene identified in Chinese Hani pediatric patients with Alkaptonuria.

Clinica chimica acta; international journal of clinical chemistry
2022

Reverse total shoulder arthroplasty for treatment of ochronotic arthropathy.

Journal of surgical case reports
2022

New insights and advances on pyomelanin production: from microbial synthesis to applications.

Journal of industrial microbiology &amp; biotechnology
2022

Incidental diagnosis of ochronosis by aortic valve replacement.

Turk gogus kalp damar cerrahisi dergisi
2022

Blue man: Ochronosis in Otolaryngology.

Clinical case reports
2022

Long-term low dose nitisinone therapy in adults with alkaptonuria shows no cognitive decline or increased severity of depression.

JIMD reports
2021

Clinical and Surgical Insights on Bilateral Total Knee Arthroplasty in Ochronotic Arthropathy: A Case-based Review.

Journal of orthopaedic case reports
2021

Ochronotic Surprise during Total Knee Replacement! A Case Report.

Journal of orthopaedic case reports
2022

Black urine-alkaptonuria.

QJM : monthly journal of the Association of Physicians
2022

THE USE OF NEAR INFRARED SPECTROSCOPY IN ALKAPTONURIA - THE MISLEADING OCHRONOSIS - A CASE REPORT AND LITERATURE REVIEW.

Portuguese journal of cardiac thoracic and vascular surgery
2022

Characterization of changes in the tyrosine pathway by 24-h profiling during nitisinone treatment in alkaptonuria.

Molecular genetics and metabolism reports
2022

Basophilic, Thickened Collagen Bundles Seen in Late-Stage Exogenous Ochronosis.

The American Journal of dermatopathology
2022

A Case of Alkaptonuria Diagnosed in the 6th Decade - A Clinico-Dermoscopic-Histopathological View.

Indian dermatology online journal
2022

Computational Approaches Integrated in a Digital Ecosystem Platform for a Rare Disease.

Frontiers in molecular medicine
2022

Sarcoidal granuloma on exogenous ochronosis.

Annales de dermatologie et de venereologie
2022

The black root: Aortic valve sparing in alkaptonuria.

Journal of cardiac surgery
2022

[Alkaptonuria: Don't just think about it in childhood].

MMW Fortschritte der Medizin
2022

Neglected alkaptonuric patient presented with low back pain and radiculopathy: A case report.

Surgical neurology international
2023

Breakpoints characterisation of the genomic deletions identified by MLPA in alkaptonuria patients.

European journal of human genetics : EJHG
2022

Homogentisic acid induces autophagy alterations leading to chondroptosis in human chondrocytes: Implications in Alkaptonuria.

Archives of biochemistry and biophysics
2022

Comparing nitisinone 2 mg and 10 mg in the treatment of alkaptonuria-An approach using statistical modelling.

JIMD reports
2022

Effects of a protein-restricted diet on body weight and serum tyrosine concentrations in patients with alkaptonuria.

JIMD reports
2022

Blue ears: a clue to diagnosis of alkaptonuria identified via telemedicine consultation.

Clinical and experimental dermatology
2021

Alkaptonuria with rapidly destructive arthropathy of the hip: A case report and literature review.

Acta orthopaedica et traumatologica turcica
2021

Musculoskeletal manifestations in Alkaptonuria: A cross-sectional study.

Medicine
2021

Treatment of osteoporotic fractures in alkaptonuria by teriparatide stimulates bone formation and decreases fracture rate - A report of two cases.

Bone reports
2022

Dogliotti and Phillips classifications are unsuitable for grading the histopathological findings of exogenous ochronosis.

Journal of cutaneous pathology
2021

Clinical development innovation in rare diseases: lessons learned and best practices from the DevelopAKUre consortium.

Orphanet journal of rare diseases
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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. [Intraoperative diagnosis of alkaptonuria during lumbar disc surgery: A case report].
    Deutsche medizinische Wochenschrift (1946)· 2026· PMID 41558493mais citado
  2. Ocular Ochronosis in Alkaptonuria: Two Case Reports.
    Klinische Monatsblatter fur Augenheilkunde· 2026· PMID 41844179mais citado
  3. Intermittent dark urine in a school-aged boy: a case of alkaptonuria.
    Kidney international· 2026· PMID 41485800mais citado
  4. Functional Characterization of HGD Gene Variants by Minigene Splicing Assay.
    International journal of molecular sciences· 2025· PMID 41226673mais citado
  5. From black urine to bladder obstruction: multidisciplinary management of extensive stone formation in alkaptonuria.
    BMJ case reports· 2025· PMID 41224366mais citado
  6. Alkaptonuria in two Colombian patients: identification of HGD variants including a novel finding.
    BMC Med Genomics· 2026· PMID 41963999recente
  7. Effect of Nitisinone on Aortic Stenosis Disease Progression in Patients With Alkaptonuria: An Analysis of the Suitability of Nitisinone in Alkaptonuria (SONIA) 2 Study.
    Cureus· 2025· PMID 41589138recente
  8. Evaluation of Patients Diagnosed with Inherited Metabolic Diseases in Adulthood.
    Sisli Etfal Hastan Tip Bul· 2025· PMID 41573607recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:56(Orphanet)
  2. OMIM OMIM:203500(OMIM)
  3. MONDO:0008753(MONDO)
  4. GARD:5775(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Artigo Wikipedia(Wikipedia)
  8. Q651680(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Alcaptonúria
Compêndio · Raras BR

Alcaptonúria

ORPHA:56 · MONDO:0008753
Prevalência
1-9 / 1 000 000
Herança
Autosomal recessive
CID-10
E70.2 · Distúrbios do metabolismo da tirosina
CID-11
Ensaios
2 ativos
Medicamentos
1 registrados
Início
Adult, Infancy
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C0002066
EuropePMC
Wikidata
Wikipedia
Papers 10a
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