Knee osteoarthrosis secondary to ochronosis -clinical case,

Alkaptonuria is a rare metabolic disease in which a deficiency of the enzyme homogentisate dioxygenase causes an accumulation of homogentisic acid. Ochronosis consists of excessive deposition of homogentisic acid in the connective tissue and presents as a chestnut brown or black pigmentation. With a...

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Main Authors: Andreia Maria da Silva Martins Ferreira, Filipe Lima Santos, André Miguel Castro Costa, Bruno Miguel Pereira Barbosa, Rui Miguel Reis Rocha, Joaquim Fernando Fontes Lebre
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2014-12-01
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000600675&lng=en&tlng=en
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author Andreia Maria da Silva Martins Ferreira
Filipe Lima Santos
André Miguel Castro Costa
Bruno Miguel Pereira Barbosa
Rui Miguel Reis Rocha
Joaquim Fernando Fontes Lebre
author_facet Andreia Maria da Silva Martins Ferreira
Filipe Lima Santos
André Miguel Castro Costa
Bruno Miguel Pereira Barbosa
Rui Miguel Reis Rocha
Joaquim Fernando Fontes Lebre
author_sort Andreia Maria da Silva Martins Ferreira
collection DOAJ
description Alkaptonuria is a rare metabolic disease in which a deficiency of the enzyme homogentisate dioxygenase causes an accumulation of homogentisic acid. Ochronosis consists of excessive deposition of homogentisic acid in the connective tissue and presents as a chestnut brown or black pigmentation. With aging, the accumulation of pigments from homogentisic acid in the joints causes osteoarthrosis. There is no specific treatment for the disease and the approach is symptomatic. Arthroplasty is the solution for severe cases of osteoarthrosis caused by this pathological condition and presents results comparable to those from patients with primary osteoarthrosis. Here, the case of a 67-year-old patient who underwent several arthroplasty procedures because of osteoarthrosis caused by this rare pathological condition is presented. The last surgical intervention consisted of total right knee arthroplasty.
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spelling doaj.art-dc238b74e354470d92830dbd2ca44f012024-02-03T00:16:03ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782014-12-0149667568010.1016/j.rboe.2013.11.001S0102-36162014000600675Knee osteoarthrosis secondary to ochronosis -clinical case,Andreia Maria da Silva Martins FerreiraFilipe Lima SantosAndré Miguel Castro CostaBruno Miguel Pereira BarbosaRui Miguel Reis RochaJoaquim Fernando Fontes LebreAlkaptonuria is a rare metabolic disease in which a deficiency of the enzyme homogentisate dioxygenase causes an accumulation of homogentisic acid. Ochronosis consists of excessive deposition of homogentisic acid in the connective tissue and presents as a chestnut brown or black pigmentation. With aging, the accumulation of pigments from homogentisic acid in the joints causes osteoarthrosis. There is no specific treatment for the disease and the approach is symptomatic. Arthroplasty is the solution for severe cases of osteoarthrosis caused by this pathological condition and presents results comparable to those from patients with primary osteoarthrosis. Here, the case of a 67-year-old patient who underwent several arthroplasty procedures because of osteoarthrosis caused by this rare pathological condition is presented. The last surgical intervention consisted of total right knee arthroplasty.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000600675&lng=en&tlng=enAlcaptonúriaOcronoseJoelhoArtroplastia
spellingShingle Andreia Maria da Silva Martins Ferreira
Filipe Lima Santos
André Miguel Castro Costa
Bruno Miguel Pereira Barbosa
Rui Miguel Reis Rocha
Joaquim Fernando Fontes Lebre
Knee osteoarthrosis secondary to ochronosis -clinical case,
Revista Brasileira de Ortopedia
Alcaptonúria
Ocronose
Joelho
Artroplastia
title Knee osteoarthrosis secondary to ochronosis -clinical case,
title_full Knee osteoarthrosis secondary to ochronosis -clinical case,
title_fullStr Knee osteoarthrosis secondary to ochronosis -clinical case,
title_full_unstemmed Knee osteoarthrosis secondary to ochronosis -clinical case,
title_short Knee osteoarthrosis secondary to ochronosis -clinical case,
title_sort knee osteoarthrosis secondary to ochronosis clinical case
topic Alcaptonúria
Ocronose
Joelho
Artroplastia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000600675&lng=en&tlng=en
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