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CASE REPORT
Year : 2019  |  Volume : 2  |  Issue : 1  |  Page : 108-110

Lumbar disc herniation in ochronosis


Department of Orthopaedics, Devadoss Multispeciality Hospital, Madurai, Tamil Nadu, India

Correspondence Address:
Dr. Subbiah Jayakumar
Department of Orthopaedics, Devadoss Multispeciality Hospital, 75/1, Alagar Kovil Main Road, Surveyor Colony, Madurai - 625 007, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/isj.isj_40_18

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Alkaptonuria is a rare metabolic, autosomal recessive disorder caused by the deficiency of homogentisic acid oxidase and it is characterized by bluish-black discoloration of cartilages, skin (Ochronosis), degenerative changes in the articular, extra-articular cartilages, intervertebral disc, other tissues causing pain in the joints and spinal column. Although intervertebral disc degeneration is common in these patients, those presenting with symptoms severe enough to warrant surgery are rare. Only a few patients have been treated surgically. We present a case of alkaptonuria presenting with radiculopathy and lumbar disc herniation. The case presented demonstrates that although lumbar disc herniation is rare in alkaptonuria, it should be sought in such patients and surgical treatment yields good functional outcome.


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