Ochronosis: Difference between revisions

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'''Ochronosis''' is a disease characterized by the accumulation of homogentisic acid. It is subclassified as ''endogenous'' and ''exogenous''.
'''Ochronosis''' is a disease characterized by the accumulation of homogentisic acid.  


The endogenous form is genetic and autosomal recessive.<ref name=pmid20055850>{{Cite journal  | last1 = Turgay | first1 = E. | last2 = Canat | first2 = D. | last3 = Gurel | first3 = MS. | last4 = Yuksel | first4 = T. | last5 = Baran | first5 = MF. | last6 = Demirkesen | first6 = C. | title = Endogenous ochronosis. | journal = Clin Exp Dermatol | volume = 34 | issue = 8 | pages = e865-8 | month = Dec | year = 2009 | doi = 10.1111/j.1365-2230.2009.03618.x | PMID = 20055850 }}</ref> '''Alcaptonuria''' is a specific genetic defect that causes ochronosis.<ref>{{OMIM|203500}}</ref>
'''Alcaptonuria''' is a specific genetic defect that causes ochronosis.<ref>{{OMIM|203500}}</ref>
 
==General==
It is subclassified as:
*Endogenous (genetic).
*Exogenous.
 
The endogenous form is genetic and autosomal recessive.<ref name=pmid20055850>{{Cite journal  | last1 = Turgay | first1 = E. | last2 = Canat | first2 = D. | last3 = Gurel | first3 = MS. | last4 = Yuksel | first4 = T. | last5 = Baran | first5 = MF. | last6 = Demirkesen | first6 = C. | title = Endogenous ochronosis. | journal = Clin Exp Dermatol | volume = 34 | issue = 8 | pages = e865-8 | month = Dec | year = 2009 | doi = 10.1111/j.1365-2230.2009.03618.x | PMID = 20055850 }}</ref>


==Gross==
==Gross==
*Tissue with blue-grey discolourization.<ref name=pmid21768245>{{Cite journal  | last1 = Baeva | first1 = M. | last2 = Bueno | first2 = A. | last3 = Dhimes | first3 = P. | title = AIRP best cases in radiologic-pathologic correlation: ochronosis. | journal = Radiographics | volume = 31 | issue = 4 | pages = 1163-7 | month =  | year =  | doi = 10.1148/rg.314105175 | PMID = 21768245 }}</ref>
*Tissue with blue-grey discolourization.<ref name=pmid21768245>{{Cite journal  | last1 = Baeva | first1 = M. | last2 = Bueno | first2 = A. | last3 = Dhimes | first3 = P. | title = AIRP best cases in radiologic-pathologic correlation: ochronosis. | journal = Radiographics | volume = 31 | issue = 4 | pages = 1163-7 | month =  | year =  | doi = 10.1148/rg.314105175 | PMID = 21768245 }}</ref>
**Affected tissues: articular and auricular [[cartilage]], tendons, ligaments [[heart valves]], sclera, cornea.  
**Affected tissues: articular and auricular [[cartilage]], tendons, ligaments [[heart valves]], [[sclera]], cornea.  
*Dark urine (after exposure to sunlight).
*Dark urine (after exposure to sunlight).


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==Microscopic==
==Microscopic==
Features - cartilage:
Features:
*Deposits of (acellular) brown pigment (H&E sections) - '''key feature'''.
*Deposits of (acellular) brown pigment (H&E sections) - '''key feature'''.
**May be dark magenta.
**May be dark magenta.
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*[http://radiographics.rsna.org/content/31/4/1163/F11.expansion.html Ochronosis - cartilage (rsna.org)].<ref name=pmid21768245/>
*[http://radiographics.rsna.org/content/31/4/1163/F11.expansion.html Ochronosis - cartilage (rsna.org)].<ref name=pmid21768245/>
*[http://radiographics.rsna.org/content/31/4/1163/F12.expansion.html Ochronosis - soft tissue (rsna.org)].<ref name=pmid21768245/>
*[http://radiographics.rsna.org/content/31/4/1163/F12.expansion.html Ochronosis - soft tissue (rsna.org)].<ref name=pmid21768245/>
*[http://www.clinmedres.org/content/2/4/209/F1.expansion.html Ochronosis - aortic valve (clinmedres.org)].<ref name=pmid15931360>{{Cite journal  | last1 = Fisher | first1 = AA. | last2 = Davis | first2 = MW. | title = Alkaptonuric ochronosis with aortic valve and joint replacements and femoral fracture: a case report and literature review. | journal = Clin Med Res | volume = 2 | issue = 4 | pages = 209-15 | month = Nov | year = 2004 | doi =  | PMID = 15931360 }}</ref>
*[http://www.dermpedia.org/conference/wwwdermatopathologyconsultationscom?page=40 Ochronosis - skin (dermpedia.org)].<ref>URL: [http://www.dermpedia.org/conference/wwwdermatopathologyconsultationscom?page=40 http://www.dermpedia.org/conference/wwwdermatopathologyconsultationscom?page=40]. Accessed on: 1 February 2013.</ref>
==See also==
*[[Heart valves]].
*[[Joints]].


==References==
==References==
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[[Category:Weird stuff]]
[[Category:Weird stuff]]
[[Category:Diagnosis]]