{"id":3951,"date":"2020-06-04T00:17:22","date_gmt":"2020-06-04T07:17:22","guid":{"rendered":"https:\/\/up.physicaldiagnosispdx.com\/up\/?page_id=3951"},"modified":"2020-12-31T21:52:42","modified_gmt":"2021-01-01T05:52:42","slug":"alkaptonuria","status":"publish","type":"page","link":"https:\/\/up.physicaldiagnosispdx.com\/up\/hereditary-conditions-2\/alkaptonuria\/","title":{"rendered":"Alkaptonuria"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row css=&#8221;.vc_custom_1592155698727{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text]<span style=\"font-size: 14pt;\">A rare autosomal recessive condition that results in the accumulation of homogentisic acid in the blood and tissues. The classic finding is darkening of the urine when it is left exposed to open air, but other physical manifestations include hyperpigmentation of cartilaginous structures like the ear, as well as the sclera and corneal limbus of the eye.<\/span><\/p>\n<figure id=\"attachment_1658\" aria-describedby=\"caption-attachment-1658\" style=\"width: 150px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/up.physicaldiagnosispdx.com\/up\/hereditary-conditions-tutorial\/#Alkaptonuria\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-1658 size-thumbnail\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png 150w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-300x300.png 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308.png 512w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a><figcaption id=\"caption-attachment-1658\" class=\"wp-caption-text\">&nbsp;<\/figcaption><\/figure>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 1:<\/h1>\n<p class=\"m_-7938141976248274527MsoListParagraph\"><span style=\"font-size: 14pt;\">This patient is an old man\u00a0with alkaptonuria (ochronosis). He was\u00a0admitted with endocarditis, and was incidentally\u00a0found to have these greyish discolorations on his eyes, ears and hands. His urine also became darker on standing. Alkaptonuria (ochronosis) was the first human disorder that was recognized to follow the Mendelian pattern of autosomal recessive inheritance. Archibald Garrod introduced the term \u201cinborn error of metabolism\u201d to describe this rare disease.<\/span><u><\/u><u><\/u><\/p>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592155788700{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<div id='gallery-1' class='gallery galleryid-3951 gallery-columns-3 gallery-size-large'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/hereditary-conditions_alkaptonuria_alkapurine1\/'><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"640\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_alkapurine1.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_alkapurine1.jpg 900w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_alkapurine1-300x300.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_alkapurine1-150x150.jpg 150w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_alkapurine1-768x768.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_alkapurine1-800x800.jpg 800w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/hereditary-conditions_alkaptonuria_alkap5\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_Alkap5.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_Alkap5.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_Alkap5-150x150.jpg 150w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/hereditary-conditions_alkaptonuria_alkap3\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_alkap3.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_alkap3.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_alkap3-150x150.jpg 150w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/hereditary-conditions_alkaptonuria_alkap6-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"250\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_alkap6-1.jpg\" class=\"attachment-large size-large\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/hereditary-conditions_alkaptonuria_alkap4-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_Alkap4-1.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_Alkap4-1.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hereditary-Conditions_Alkaptonuria_Alkap4-1-150x150.jpg 150w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css=&#8221;.vc_custom_1592155698727{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text]A rare autosomal recessive condition that results in the accumulation of homogentisic acid in the blood and tissues. The classic finding is darkening of the urine when it is left exposed to open air, but other physical manifestations include hyperpigmentation of cartilaginous structures like the ear, as<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":1918,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"page-templates\/page_PDXPDX-full-width.php","meta":{"nf_dc_page":"","_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"class_list":["post-3951","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/3951","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/comments?post=3951"}],"version-history":[{"count":1,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/3951\/revisions"}],"predecessor-version":[{"id":9825,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/3951\/revisions\/9825"}],"up":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1918"}],"wp:attachment":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/media?parent=3951"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}