Ochronosis

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

The endogenous form is genetic and autosomal recessive.[1] Alcaptonuria is a specific genetic defect that causes ochronosis.[2]

Gross

  • Tissue with blue-grey discolourization.[3]
  • Dark urine (after exposure to sunlight).

Images:

Microscopic

Features - cartilage:

  • Deposits of (acellular) brown pigment (H&E sections) - key feature.

Image:

References

  1. Turgay, E.; Canat, D.; Gurel, MS.; Yuksel, T.; Baran, MF.; Demirkesen, C. (Dec 2009). "Endogenous ochronosis.". Clin Exp Dermatol 34 (8): e865-8. doi:10.1111/j.1365-2230.2009.03618.x. PMID 20055850.
  2. Online 'Mendelian Inheritance in Man' (OMIM) 203500
  3. 3.0 3.1 Baeva, M.; Bueno, A.; Dhimes, P.. "AIRP best cases in radiologic-pathologic correlation: ochronosis.". Radiographics 31 (4): 1163-7. doi:10.1148/rg.314105175. PMID 21768245.