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).
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).
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<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 29 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 65 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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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.
Catalyzes the conversion of homogentisate to maleylacetoacetate
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.
Medicamentos e terapias
Mecanismo: 4-hydroxyphenylpyruvate dioxygenase inhibitor
Variantes genéticas (ClinVar)
323 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 597 variantes classificadas pelo ClinVar.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Alcaptonúria
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Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
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Ensaios clínicos abertos e novidades científicas recentes
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Outros ensaios clínicos
10 ensaios clínicos encontrados, 2 ativos.
Publicações mais relevantes
[Intraoperative diagnosis of alkaptonuria during lumbar disc surgery: A case report].
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.
Ocular Ochronosis in Alkaptonuria: Two Case Reports.
Intermittent dark urine in a school-aged boy: a case of alkaptonuria.
Functional Characterization of HGD Gene Variants by Minigene Splicing Assay.
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.
From black urine to bladder obstruction: multidisciplinary management of extensive stone formation in alkaptonuria.
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
Alkaptonuria in two Colombian patients: identification of HGD variants including a novel finding.
Ocular Ochronosis in Alkaptonuria: Two Case Reports.
Effect of Nitisinone on Aortic Stenosis Disease Progression in Patients With Alkaptonuria: An Analysis of the Suitability of Nitisinone in Alkaptonuria (SONIA) 2 Study.
Evaluation of Patients Diagnosed with Inherited Metabolic Diseases in Adulthood.
[Intraoperative diagnosis of alkaptonuria during lumbar disc surgery: A case report].
📚 EuropePMC819 artigos no totalmostrando 193
Ocular Ochronosis in Alkaptonuria: Two Case Reports.
Klinische Monatsblatter fur AugenheilkundeEffect of Nitisinone on Aortic Stenosis Disease Progression in Patients With Alkaptonuria: An Analysis of the Suitability of Nitisinone in Alkaptonuria (SONIA) 2 Study.
CureusEvaluation of Patients Diagnosed with Inherited Metabolic Diseases in Adulthood.
Sisli Etfal Hastanesi tip bulteni[Intraoperative diagnosis of alkaptonuria during lumbar disc surgery: A case report].
Deutsche medizinische Wochenschrift (1946)Intermittent dark urine in a school-aged boy: a case of alkaptonuria.
Kidney internationalFemoral head ochronotic pigmentation in a patient with alkaptonuria and secondary hip osteoarthritis.
ARP rheumatologyHarliku (nitisinone): first FDA-approved disease-modifying therapy for alkaptonuria.
Annals of medicine and surgery (2012)Polychondritis and Arthritis in a Patient with Coexisting Alkaptonuria and Psoriasis Vulgaris.
Internal medicine (Tokyo, Japan)Early-Onset Degenerative Bone Changes as a Manifestation of Alkaptonuria: A Case Report.
CureusClinical and molecular characteristics of Chinese patients with alkaptonuria: 4-year follow-up of a pediatric patient and literature review.
Molecular genetics and metabolism reportsA Dark Turn in the OR: Incidental Discovery of Ochronosis during Trauma Surgery: A Case Report.
Journal of orthopaedic case reportsAlkaptonuria and Cervical Disc Herniation: Case Report.
International journal of spine surgeryMolecular Analysis of the HGD Gene in 9 Families With Alkaptonuric Ochronosis in Iran and Identification of Two Novel Variants.
Molecular genetics & genomic medicineClinical Images: Alkaptonuria: a conundrum.
Arthritis & rheumatology (Hoboken, N.J.)Functional Characterization of HGD Gene Variants by Minigene Splicing Assay.
International journal of molecular sciencesFrom black urine to bladder obstruction: multidisciplinary management of extensive stone formation in alkaptonuria.
BMJ case reportsCervicosacral stabilisation in alkaptonuria: seven-year surgical management of multisystem ochronosis including joint arthroplasties.
BMJ case reportsSurgical management of spinal ochronosis: A case series of surgical interventions and outcomes.
Musculoskeletal surgeryA Rare Diagnosis in a Resource-Limited Setting: Alkaptonuria in a Young Dominican Child.
CureusRheumatic manifestations of alkaptonuria: clinical, genetic and capillaroscopic characterisation of a referral centre cohort reveals new capillaroscopic marker of the disease.
Seminars in arthritis and rheumatismOchronotic Deposition in Alkaptonuria: Semiquinone-Mediated Oxidative Coupling and Metabolic Drivers of Homogentisic Acid Accumulation.
International journal of molecular sciencesCardiac Manifestations of Alkaptonuria: Aortic Valve Stenosis and Coronary Artery Disease in a 63-Year-Old Patient.
JACC. Case reportsDevelopment of a radiographic vertebral severity score for evaluation of disease progression in alkaptonuria.
Molecular genetics and metabolismMusculoskeletal Manifestations of Alkaptonuria: A Case-Based Review of Literature.
CureusCombined alkaptonuria and osteoporosis contributing to chronic back pain.
Endocrinology, diabetes & metabolism case reportsTotal Joint Arthroplasty in Ochronotic Arthritis of Lower Extremities.
Indian journal of orthopaedicsA robust bacterial high-throughput screening assay to identify pharmacological chaperones targeting human homogentisate 1,2-dioxygenase missense variants in alkaptonuria.
European journal of pharmacologyTreatment 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 medicineVideo-Assisted Minimally Invasive Endoscopic Aortic Valve Replacement in a Patient With Alkaptonuria.
JACC. Case reportsAlkaptonuria: a rare disorder associated with common conditions.
Internal and emergency medicineTranscatheter Aortic Valve Implantation in Alkaptonuria-Аssociated Severe Aortic Stenosis: A 2.5-Year Follow-Up Case Report and Literature Review.
Life (Basel, Switzerland)Diagnosis of Inherited Metabolic Disease in Older Patients: A Systematic Literature Review.
Journal of inherited metabolic diseaseDeep Learning Study of Alkaptonuria Spinal Disease Assesses Global and Regional Severity and Detects Occult Treatment Status.
Journal of inherited metabolic diseaseIntraoperative 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.
CureusA Comprehensive In Vitro and In Silico Approach for Targeting 4-Hydroxyphenyl Pyruvate Dioxygenase: Towards New Therapeutics for Alkaptonuria.
International journal of molecular sciencesAnalysis of Interactions Between Pyomelanin and the Extracellular Matrix in an Ex Vivo Turkey Tendon Model.
ChemistryOpenEfficacy and safety of Nitisinone for patients with alkaptonuria: A systematic review with metanalysis.
Molecular genetics and metabolismAnopheles mosquito survival and pharmacokinetic modeling show the mosquitocidal activity of nitisinone.
Science translational medicineFrom Chronic Use of Minocycline to Pigmented Unicuspid Aortic Valve: A Unique Single Case.
Methodist DeBakey cardiovascular journalFirst Documented Hip Replacement in a Palestinian Patient with Ochronotic Alkaptonuria Arthropathy: A Case Report.
Journal of orthopaedic case reportsShort and Long-Term Outcomes of Liver Transplantation in Pediatric Patients With Inborn Errors of Metabolism: A Single-Center Study.
Pediatric transplantationOchronotic arthropathy: skeletal manifestations and orthopaedic treatment.
EFORT open reviewsIntegrated Clinomics and Molecular Dynamics Simulation Approaches Reveal the SAA1.1 Allele as a Biomarker in Alkaptonuria Disease Severity.
BiomoleculesEffectiveness of Kidney Transplantation in Treating Alkaptonuric Skin Ochronosis.
Journal of inherited metabolic diseaseTotal Hip Arthroplasty in Ochronotic Arthropathy with quadriceps tear. A Case Report with a Review of the Literature.
Journal of orthopaedic case reportsAlkaptonuria: Clinical Spectrum of a Diagnosed Case in Bahrain With a Literature Review.
CureusAlkaptonuria. Description of 2 cases of a rare entity.
Revista clinica espanolaTargeted and untargeted urinary metabolomics of alkaptonuria patients using ultra high-performance liquid chromatography-tandem mass spectrometry.
Journal of pharmaceutical and biomedical analysisDiagnosing alkaptonuria-related nephropathy with urine albumin analysis.
Pediatric nephrology (Berlin, Germany)Alkaptonuria presenting as lumbar degenerative disease: A case report and literature review.
MedicineOchronotic Arthropathy of the Shoulder - A Rare Case Report.
Journal of orthopaedic case reportsThe effects of age and sex on active and passive hip range of motion in individuals with alkaptonuria.
Disability and rehabilitationExploring the Osteoinductive Potential of Bacterial Pyomelanin Derived from Pseudomonas aeruginosa in a Human Osteoblast Model.
International journal of molecular sciences[Total hip arthroplasty secondary to ocronotic arthropathy. A case report].
Acta ortopedica mexicanaGene expression & biochemical analysis in alkaptonuria caused by a founder pathogenic variant across different age groups from India.
The Indian journal of medical researchOchronotic Arthropathy and Alkaptonuria (Ochronosis): Case Report.
Revista brasileira de ortopediaAlkaptonuria: a rare disease with multiorgan manifestation and a long-awaited diagnosis.
BMJ case reportsNon-cemented Total Hip Arthroplasty in a Rare Case with Black Hip, A Case Report.
Advanced biomedical researchAn anatomical investigation of alkaptonuria: Novel insights into ochronosis of cartilage and bone.
Journal of anatomyBlackish Discoloration of Articular Cartilage during Total Knee Replacement; a Case Report.
Journal of orthopaedic case reportsFinding ochronotic sclera and ear discoloration in a 75-year-old man leads to a diagnosis of alkaptonuria.
Lancet (London, England)Black tendon-identifying a rare autosomal recessive disorder: Intraoperative diagnosis of alkaptonuria: A case report.
SAGE open medical case reportsDirect repair of the chronic ochronotic Achilles tendon rupture: a case report.
BMC musculoskeletal disordersAlkaptonuric Ochronosis: A case-based review.
Acta orthopaedica BelgicaA case of alkaptonuria presenting with unexplained dark-stained diapers and spurious hyperoxaluria and proteinuria due to homogentisic acid interference.
Biochemia medicaA 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 reportsExogenous 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)An in vitro cell model for exploring inflammatory and amyloidogenic events in alkaptonuria.
Journal of cellular physiologyAmyloid-like Aggregation Propensities of Metabolites- Homogentisic Acid, N-Acetyl Aspartic Acid and Isovaleric Acid.
Chembiochem : a European journal of chemical biologyEvaluation 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 AssociationA 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 CardiologyHGA Triggers SAA Aggregation and Accelerates Fibril Formation in the C20/A4 Alkaptonuria Cell Model.
CellsManaging Alkaptonuria in Absence of Appropriate Medication: A Case Report and Review of Literature.
Clinical medicine & researchPigmented eyelid lesions in alkaptonuria.
Orbit (Amsterdam, Netherlands)Anthropometric, Body Composition, and Nutritional Indicators with and without Nutritional Intervention during Nitisinone Therapy in Alkaptonuria.
NutrientsPerioperative 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 practicePatient-reported outcomes and functional assessments of patients with Alkaptonuria in a 3-year Nitisinone treatment trial.
Molecular genetics and metabolismAvulsive Achilles Tendon Rupture in a Patient With Alkaptonuria: A Case Report.
CureusRedefining a new frontier in alkaptonuria therapy with AI-driven drug candidate design via in- silico innovation.
Zeitschrift fur Naturforschung. C, Journal of biosciencesAnaesthesia Considerations in a Case of Alkaptonuria Posted for Total Knee Arthroplasty.
CureusAlkaptonuria: From Molecular Insights to a Dedicated Digital Platform.
CellsEase of sutureless aortic valve replacement in a patient with unexpected ochronosis: a case report.
Journal of cardiothoracic surgeryAlkaptonuria with Fracture Neck of Femur - A Case Report.
Journal of orthopaedic case reportsPseudofilariasis, a Presenting Sign of Alkaptonuria.
CorneaJoint replacement risk is markedly increased in alkaptonuria (AKU) in those with prior arthroplasty.
Molecular genetics and metabolism reportsDisc-coloration of an ochronotic cervical intervertebral disc in a patient with alkaptonuria: Case report and review of the literature.
Clinical neurology and neurosurgeryA shocking intraoperatively diagnosis of ochronotic knee arthropathy: a case report.
Annals of medicine and surgery (2012)Hepatobiliary circulation and dominant urinary excretion of homogentisic acid in a mouse model of alkaptonuria.
Journal of inherited metabolic diseaseArthroplasty in Ochronotic Arthropathy: 3 Replacements in a Single Patient with a Long-term Follow-up of 11 Years.
Journal of orthopaedic case reportsSurgical management of calcific valvular and coronary disease in a patient with alkaptonuria: a case report.
European heart journal. Case reportsAlkaptonuria in an Elderly Presenting with Asynchronous Rupture of both Quadriceps Tendons and Chronic Kidney Failure: Case Report and Literature Review.
Journal of orthopaedic case reportsAlkaptonuria Diagnosis Following a Discectomy: A Case Report.
CureusOchronotic Chondropathy: A Case Report.
BiomedicinesArthroscopic ankle arthrodesis in two alkaptonuria patients.
BMJ case reportsDetection of homogentisic acid by electrospray ionization mass spectrometry.
Journal of clinical laboratory analysisOchronotic arthropathy effectively treated with total hip and total knee arthroplasty: a case report.
Frontiers in medicineAlkaptonuria Presenting With Lumbar Disc Herniation: A Case Report.
CureusBlack Bone Disease: Ochronotic Arthritis Detected during Knee Arthroplasty.
Journal of bone metabolism[Alkaptonuria: evolution and course of the disease towards ochronotic arthropathy. Series of cases managed with joint replacement].
Acta ortopedica mexicanaHomogentisate 1,2-dioxygenase (HGD) gene variants in young Egyptian patients with alkaptonuria.
Scientific reportsJoint manifestations revealing inborn metabolic diseases in adults: a narrative review.
Orphanet journal of rare diseasesSpondyloarthropathies That Mimic Ankylosing Spondylitis: A Narrative Review.
Clinical medicine insights. Arthritis and musculoskeletal disordersAcute-Onset Multifocal Hand Dysfunction Due to Alkaptonuria.
Journal of hand surgery global onlineNitisinone Treatment Affects Biomarkers of Bone and Cartilage Remodelling in Alkaptonuria Patients.
International journal of molecular sciencesEvaluation of Homogentisic Acid, a Prospective Antibacterial Agent Highlighted by the Suitability of Nitisinone in Alkaptonuria 2 (SONIA 2) Clinical Trial.
CellsIncreased prevalence of Parkinson's disease in alkaptonuria.
JIMD reportsClinical presentation of 13 children with alkaptonuria.
Journal of inherited metabolic diseaseBiochemical and molecular confirmation of alkaptonuria in a Sumatran orangutan (Pongo abelii).
Molecular genetics and metabolismLocalized argyria with pseudo-ochronosis: A report of two cases highlighting involvement of elastic fibers.
Journal of cutaneous pathologyBilateral Patellar Tendon Rupture Following Total Knee Arthroplasty in a Patient With Alkaptonuria: A Case Report.
CureusAlkaptonuria - Past, present and future.
Advances in clinical chemistryReverse Total Shoulder Arthroplasty in Alkaptonuric Shoulder: Case Presentation, Review of Literature, and Technical Considerations.
Orthopedic research and reviewsA Previously Undiagnosed Case of Alkaptonuria in an 80-Year-Old Patient: A Case Report.
CureusTotal Hip Arthroplasty for Ochronosis: A Report of Three Cases.
Journal of orthopaedic case reportsExogenous Ochronosis With Ocular Involvement From Chronic Use of Teavigo.
Ophthalmic plastic and reconstructive surgeryClinical significance of hypouricemia in children and adolescents.
Pediatric nephrology (Berlin, Germany)Current Landscape on Development of Phenylalanine and Toxicity of its Metabolites - A Review.
Current drug safetyIdentification of Potential Inhibitors for the Treatment of Alkaptonuria Using an Integrated In Silico Computational Strategy.
Molecules (Basel, Switzerland)Hereditary Tyrosinemia Type 1 Mice under Continuous Nitisinone Treatment Display Remnants of an Uncorrected Liver Disease Phenotype.
GenesNutritional interventions for patients with alkaptonuria: A minireview.
Endocrine regulationsStructure-Function Relationship of Homogentisate 1,2-dioxygenase: Understanding the Genotype-Phenotype Correlations in the Rare Genetic Disease Alkaptonuria.
Current protein & peptide scienceOchronotic hip arthropathy - A case report.
Journal of orthopaedic case reportsFirst decade anniversary of the United Kingdom National Alkaptonuria Centre.
JIMD reportsSclerouveitis as Part of Multiple Autoimmune Syndrome in a Patient with Alkaptonuria: A Case Report.
Ocular immunology and inflammationTotal Knee Arthroplasty in Ochronosis: A Rare Condition.
CureusOchronotic arthropathy of bilateral hip joints: A case report.
World journal of clinical casesTotal knee arthroplasty and physical therapy for arthropathy in alkaptonuria: A 4-year follow-up case report.
Frontiers in surgeryCase report: Thoracolumbar spinal stenosis associated with alkaptonuria.
Frontiers in surgeryAlkaptonuria: 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 CardiologyBacterial quality of urinary tract in patients with alkaptonuria.
The American journal of the medical sciencesClinical development innovation in rare diseases: overcoming barriers to successful delivery of a randomised clinical trial in alkaptonuria-a mini-review.
Orphanet journal of rare diseasesDilemmas in the diagnosis and management of osteoporosis in a patient with alkaptonuria: Successful treatment with teriparatide.
Clinical case reportsUntargeted NMR Metabolomics Reveals Alternative Biomarkers and Pathways in Alkaptonuria.
International journal of molecular sciencesEffects of Nitisinone on Oxidative and Inflammatory Markers in Alkaptonuria: Results from SONIA1 and SONIA2 Studies.
CellsA robust bacterial high-throughput screening system to evaluate single nucleotide polymorphisms of human homogentisate 1,2-dioxygenase in the context of alkaptonuria.
Scientific reportsMinocycline induced discoloration of the aortic intima and valve: A case report.
Journal of cardiac surgeryAlkaptunuria; a case report.
International journal of surgery case reportsAnalysis of the Phenotype Differences in Siblings with Alkaptonuria.
MetabolitesComprehensive Biotransformation Analysis of Phenylalanine-Tyrosine Metabolism Reveals Alternative Routes of Metabolite Clearance in Nitisinone-Treated Alkaptonuria.
MetabolitesRevisiting Quantification of Phenylalanine/Tyrosine Flux in the Ochronotic Pathway during Long-Term Nitisinone Treatment of Alkaptonuria.
MetabolitesThe Discovery of the Mode of Action of Nitisinone.
MetabolitesExogenous ochronosis successfully treated with the combination of intense pulsed light and fractional CO2 laser.
Anais brasileiros de dermatologiaRadiological evolution of spinal disease in alkaptonuria and the effect of nitisinone.
RMD openAlkaptonuria: Response to low-dose nitisinone in two patients with a new mutation.
Medicina clinicaDescemet's membrane folds in ochronosis: a case report.
Journal of medical case reportsDeterminants of tyrosinaemia during nitisinone therapy in alkaptonuria.
Scientific reportsOne-stage revision arthroplasty in a patient with ochronotic arthropathy accompanied by joint infection: A case report.
World journal of clinical casesHGDiscovery: An online tool providing functional and phenotypic information on novel variants of homogentisate 1,2- dioxigenase.
Current research in structural biologyOchronotic arthropathy in the context of spondyloarthritis differential diagnosis: a case-based review.
Rheumatology internationalAdequacy of nitisinone for the management of alkaptonuria.
Annals of medicine and surgery (2012)Comparing the Phenylalanine/Tyrosine Pathway and Related Factors between Keratopathy and No-Keratopathy Groups as Well as between Genders in Alkaptonuria during Nitisinone Treatment.
MetabolitesMethod development and validation for analysis of phenylalanine, 4-hydroxyphenyllactic acid and 4-hydroxyphenylpyruvic acid in serum and urine.
JIMD reportsAssociation of alkaptonuria and low dose nitisinone therapy with cataract formation in a large cohort of patients.
JIMD reportsImproving the clinical accuracy and flexibility of the Alkaptonuria severity score index.
JIMD reportsOcular Ochronosis in Alkaptonuria.
OphthalmologyImpact of Nitisinone on the Cerebrospinal Fluid Metabolome of a Murine Model of Alkaptonuria.
MetabolitesIn-vivo Aortic Valve of a Patient with Alkaptonuria.
Acta medica portuguesaPerioperative anesthetic challenges in Alkaptonuria patient with comorbid conditions.
Journal of anaesthesiology, clinical pharmacologyTemporal adaptations in the phenylalanine/tyrosine pathway and related factors during nitisinone-induced tyrosinaemia in alkaptonuria.
Molecular genetics and metabolismLong-term follow-up of alkaptonuria patients: single center experience.
Journal of pediatric endocrinology & metabolism : JPEMTotal Knee Replacement in Alkaptonuric Ochronosis.
Acta bio-medica : Atenei Parmensis[Ochronosis: A case report].
La Revue de medecine interne[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 pediatricsCase Report: First Documented Hip Arthroplasty on Chinese Patient with Ochronotic Arthropathy.
Frontiers in surgeryTotal Shoulder Reverse Arthroplasty in Alkaptonuria: An Effective Option to Treat a Complication of a Rare Disease.
Journal of orthopaedic case reportsA novel mutation in the homogentisate 1,2 dioxygenase gene identified in Chinese Hani pediatric patients with Alkaptonuria.
Clinica chimica acta; international journal of clinical chemistryReverse total shoulder arthroplasty for treatment of ochronotic arthropathy.
Journal of surgical case reportsNew insights and advances on pyomelanin production: from microbial synthesis to applications.
Journal of industrial microbiology & biotechnologyIncidental diagnosis of ochronosis by aortic valve replacement.
Turk gogus kalp damar cerrahisi dergisiBlue man: Ochronosis in Otolaryngology.
Clinical case reportsLong-term low dose nitisinone therapy in adults with alkaptonuria shows no cognitive decline or increased severity of depression.
JIMD reportsClinical and Surgical Insights on Bilateral Total Knee Arthroplasty in Ochronotic Arthropathy: A Case-based Review.
Journal of orthopaedic case reportsOchronotic Surprise during Total Knee Replacement! A Case Report.
Journal of orthopaedic case reportsBlack urine-alkaptonuria.
QJM : monthly journal of the Association of PhysiciansTHE USE OF NEAR INFRARED SPECTROSCOPY IN ALKAPTONURIA - THE MISLEADING OCHRONOSIS - A CASE REPORT AND LITERATURE REVIEW.
Portuguese journal of cardiac thoracic and vascular surgeryCharacterization of changes in the tyrosine pathway by 24-h profiling during nitisinone treatment in alkaptonuria.
Molecular genetics and metabolism reportsBasophilic, Thickened Collagen Bundles Seen in Late-Stage Exogenous Ochronosis.
The American Journal of dermatopathologyA Case of Alkaptonuria Diagnosed in the 6th Decade - A Clinico-Dermoscopic-Histopathological View.
Indian dermatology online journalComputational Approaches Integrated in a Digital Ecosystem Platform for a Rare Disease.
Frontiers in molecular medicineSarcoidal granuloma on exogenous ochronosis.
Annales de dermatologie et de venereologieThe black root: Aortic valve sparing in alkaptonuria.
Journal of cardiac surgery[Alkaptonuria: Don't just think about it in childhood].
MMW Fortschritte der MedizinNeglected alkaptonuric patient presented with low back pain and radiculopathy: A case report.
Surgical neurology internationalBreakpoints characterisation of the genomic deletions identified by MLPA in alkaptonuria patients.
European journal of human genetics : EJHGHomogentisic acid induces autophagy alterations leading to chondroptosis in human chondrocytes: Implications in Alkaptonuria.
Archives of biochemistry and biophysicsComparing nitisinone 2 mg and 10 mg in the treatment of alkaptonuria-An approach using statistical modelling.
JIMD reportsEffects of a protein-restricted diet on body weight and serum tyrosine concentrations in patients with alkaptonuria.
JIMD reportsBlue ears: a clue to diagnosis of alkaptonuria identified via telemedicine consultation.
Clinical and experimental dermatologyAlkaptonuria with rapidly destructive arthropathy of the hip: A case report and literature review.
Acta orthopaedica et traumatologica turcicaMusculoskeletal manifestations in Alkaptonuria: A cross-sectional study.
MedicineTreatment of osteoporotic fractures in alkaptonuria by teriparatide stimulates bone formation and decreases fracture rate - A report of two cases.
Bone reportsDogliotti and Phillips classifications are unsuitable for grading the histopathological findings of exogenous ochronosis.
Journal of cutaneous pathologyClinical development innovation in rare diseases: lessons learned and best practices from the DevelopAKUre consortium.
Orphanet journal of rare diseasesAssociações
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Comunidades
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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.
- [Intraoperative diagnosis of alkaptonuria during lumbar disc surgery: A case report].
- Ocular Ochronosis in Alkaptonuria: Two Case Reports.
- Intermittent dark urine in a school-aged boy: a case of alkaptonuria.
- Functional Characterization of HGD Gene Variants by Minigene Splicing Assay.
- From black urine to bladder obstruction: multidisciplinary management of extensive stone formation in alkaptonuria.
- Alkaptonuria in two Colombian patients: identification of HGD variants including a novel finding.
- Effect of Nitisinone on Aortic Stenosis Disease Progression in Patients With Alkaptonuria: An Analysis of the Suitability of Nitisinone in Alkaptonuria (SONIA) 2 Study.
- Evaluation of Patients Diagnosed with Inherited Metabolic Diseases in Adulthood.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:56(Orphanet)
- OMIM OMIM:203500(OMIM)
- MONDO:0008753(MONDO)
- GARD:5775(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Artigo Wikipedia(Wikipedia)
- 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
