Spinal and Peripheral Arthropathy

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Spinal and Peripheral Arthropathy

Post  Abbas on Mon Jan 10, 2011 5:52 pm

A 40 year old male, otherwise an avid foot player in past, quit the game as he developed back pain followed shortly by pain in knee joints.



Sports doctor noticed skin pigmentation developing over years especially in ear. He tested positive for urine sugar as well



Treatment with multiple pain killers and steroids failed to bring significant improvement. How would you go about this case?

Abbas

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Re: Spinal and Peripheral Arthropathy

Post  Dr Hira Tariq on Tue Jan 11, 2011 3:16 pm

Is it ochronosis....with wide areas of calcification in the intervertebral discs and degenerative changes in the peripheral joints...and bluish brown pigmentation of ear (and nasal) cartilage. his urine should be tested for homogentisic acid.

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Correct

Post  Abbas on Tue Jan 11, 2011 5:55 pm

Absolutely. Its Ochronosis (Alkaptonuria)

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