Alkaptonuria-Associated Changes in Disc Degeneration.

Autor: Gruber, Helen E., Hanley Jr., Edward N.
Předmět:
Zdroj: JBJS Case Connector; Oct-Dec2015, Vol. 5 Issue 4, p1-6, 6p
Abstrakt: Case: A thirty-nine-year-old man with alkaptonuria presented with low back pain. Imaging demonstrated lumbar scoliosis, extensive irregularities of end-plate vertebral margins, and Thompson Grade-V disc degeneration. Six months later, the patient returned with a herniated L2-L3 disc. Minimally invasive disc surgery was performed, and harvested disc tissue showed marked extracellular matrix changes and ochronotic pigment deposits. Conclusion: Scattered previous literature is available regarding disc changes in alkaptonuria. Although rare, alkaptonuria appears to severely impact the disc as reflected by cellular and matrix inclusions that contribute to disc-cell pathology. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index