Case Report


DOI :10.5222/j.child.2011.078   IUP :10.5222/j.child.2011.078    Full Text (PDF)

An Early Detected Alkaptonuria: Case Report

Resul YılmazMustafa ÖzçetinErhan KaraarslanHaluk Esmeray

Alkaptonuria is the first described autosomal recessive inherited metabolic disorder. Signs and symptoms appear with deposition of homogentisic acid and its metabolites in the connective tissue due to homogentisic acid oxidase deficiency. In this article a case of 7- year old girl is presentedreferred with the complaints of fever and short stature, and diagnosed as a case of alkaptonuria with the guiding diagnostic clue of discoloration of urine.

DOI :10.5222/j.child.2011.078   IUP :10.5222/j.child.2011.078    Full Text (PDF)

Erken Tespit Edilen Alkaptonüri: Vaka Sunumu

Resul YılmazMustafa ÖzçetinErhan KaraarslanHaluk Esmeray

Alkaptonüri, ender görülen, otozomal resesif geçişli, tanımlanmış ilk doğumsal metabolik hastalıktır. Homogentisik asit oksidaz enzim yetersizliğine bağlı olarak homogentisik asit ve metabolitlerinin bağ dokusunda birikmesi ile hastalık belirtileri ortaya çıkar. Ateş yüksekliği ve boy kısalığı nedeniyle başvuran kız hastada idrarda renk değişikliğinin ayrıcı tanıda yol gösterici olduğu, erken yaşta tespit edilen alkaptonüri vakası sunulmuştur.


PDF View

References

  • 1. Wasant P, Svasti J, Srisomsap C, Liammongkolkul S. Inherited metabolic disorders in Thailand, J Med Assoc Thai 2002;85:700-9. google scholar
  • 2. Saudubray JM, Sedel F, Walter JH. Clinical approach to treatable inborn metabolic diseases: an introduction. J Inherit Metab Dis 2006;29(2-3):261-74. http://dx.doi.org/10.1007/s10545-006-0358-0 PMid:16763886 google scholar
  • 3. Garrod AE. The incidence of alkaptonuria: a study in chemical individuality. 1902 [classical article] Yale J Biol Med 2002;75(4):221-31. PMid:12784973 PMCid:2588790 google scholar
  • 4. Granadino B, Beltran-Valero de Benabe D, FernandezCanon JM, et al. The human homogentisate 1,2 dioxygenase gene. Genomics 1997;43:115-22. http://dx.doi.org/10.1006/geno.1997.4805 PMid:9244427 google scholar
  • 5. Demirkol M. Aminoasit metabolizma bozukluları. In: Neyzi O, Ertuğrul T eds. Pediatri. İstanbul: Nobel Tıp Kitapevleri, 2010:787-817. google scholar
  • 6. Micali G, Di Stefano AG, Nasca MR, Musumeci ML. A 46-year-old man with a 4-year history of diffuse brownish black pigmentation. Endogenous ochronosis (alkaptonuria). Arch Dermatol 1998;134(1):98, 100-1. http://dx.doi.org/10.1001/archderm.134.1.97-a google scholar
  • 7. Janocha S, Wolz W, Srsen S, et al. The human gene for alkaptonuria (AKU) maps to chromosome 3q. Genomics. 1994;19(1):5-8. http://dx.doi.org/10.1006/geno.1994.1003 PMid:8188241 google scholar
  • 8. Bunim JJ, McGuire JS Jr, Hilbish TF, et al. Alcaptonuria, clinical staff conference at the national institutes of health. Ann Intern Med 1957;47:1210. PMid:13488201 google scholar
  • 9. Cooper PA. Alkaptonuria with ochronosis. Proc R Soc Med 1951;44:917. PMCid:2081964 google scholar
  • 10. Minno AM, Rogers JA. Ochronosis: report of a case. Ann Intern Med 1957;46:179. PMid:13395229 google scholar
  • 11. Verma SB. Early detection of alkaptonuria. Indian J Dermatol Venereol Leprol 2005;71(3):189-91. http://dx.doi.org/10.4103/0378-6323.16236 PMid:16394410 google scholar
  • 12. Hill A, Hoag GN, Zaleski WA. The investigation of aromatic acids in phenylketonuria, alkaptonuria and tyrosinosis using gas-liquid chromatography. Clin Chim Acta 1972;37:455-62. google scholar
  • 13. Morava E, Kosztolányi G, Engelke UF, Wevers RA. Reversal of clinical symptoms and radiographic abnormalities with protein restriction and ascorbic acid in alkaptonuria. Ann Clin Biochem 2003;40:108-11. http://dx.doi.org/10.1258/000 456303321016268 PMid:12542920 google scholar
  • 14. Anikster Y, Nyhan WL, Gahl WA. NTBC and alkaptonuria. Am J Hum Genet 1998; 63:920-1. http://dx.doi.org/10.1086/302027 PMid:9718357 google scholar
  • 15. Wolff JA, Barshop B, Nyhan WL, et al. Effects of ascorbic acid in alkaptonuria: alterations in benzoquinone acetic acid and an ontogenic effect in infancy. Pediatr Res 1989;26(2):140-4. http://dx.doi.org/10.1203/00006450-198908000-00015 PMid:2771520 google scholar
  • 16. Fernández-Cañón JM, Peñalva MA. Molecular characterization of a gene encoding a homogentisate dioxygenase from Aspergillus nidulans and identification of its human and plant homologues. J Biol Chem 1995;270(36):21199-205. http://dx.doi.org/10.1074/jbc.270.36.21199 google scholar

Citations

Copy and paste a formatted citation or use one of the options to export in your chosen format


EXPORT



APA

Yılmaz, R., Özçetin, M., Karaarslan, E., & Esmeray, H. (2011). An Early Detected Alkaptonuria: Case Report. Journal of Child, 11(2), 78-80. https://doi.org/10.5222/j.child.2011.078


AMA

Yılmaz R, Özçetin M, Karaarslan E, Esmeray H. An Early Detected Alkaptonuria: Case Report. Journal of Child. 2011;11(2):78-80. https://doi.org/10.5222/j.child.2011.078


ABNT

Yılmaz, R.; Özçetin, M.; Karaarslan, E.; Esmeray, H. An Early Detected Alkaptonuria: Case Report. Journal of Child, [Publisher Location], v. 11, n. 2, p. 78-80, 2011.


Chicago: Author-Date Style

Yılmaz, Resul, and Mustafa Özçetin and Erhan Karaarslan and Haluk Esmeray. 2011. “An Early Detected Alkaptonuria: Case Report.” Journal of Child 11, no. 2: 78-80. https://doi.org/10.5222/j.child.2011.078


Chicago: Humanities Style

Yılmaz, Resul, and Mustafa Özçetin and Erhan Karaarslan and Haluk Esmeray. An Early Detected Alkaptonuria: Case Report.” Journal of Child 11, no. 2 (Aug. 2025): 78-80. https://doi.org/10.5222/j.child.2011.078


Harvard: Australian Style

Yılmaz, R & Özçetin, M & Karaarslan, E & Esmeray, H 2011, 'An Early Detected Alkaptonuria: Case Report', Journal of Child, vol. 11, no. 2, pp. 78-80, viewed 14 Aug. 2025, https://doi.org/10.5222/j.child.2011.078


Harvard: Author-Date Style

Yılmaz, R. and Özçetin, M. and Karaarslan, E. and Esmeray, H. (2011) ‘An Early Detected Alkaptonuria: Case Report’, Journal of Child, 11(2), pp. 78-80. https://doi.org/10.5222/j.child.2011.078 (14 Aug. 2025).


MLA

Yılmaz, Resul, and Mustafa Özçetin and Erhan Karaarslan and Haluk Esmeray. An Early Detected Alkaptonuria: Case Report.” Journal of Child, vol. 11, no. 2, 2011, pp. 78-80. [Database Container], https://doi.org/10.5222/j.child.2011.078


Vancouver

Yılmaz R, Özçetin M, Karaarslan E, Esmeray H. An Early Detected Alkaptonuria: Case Report. Journal of Child [Internet]. 14 Aug. 2025 [cited 14 Aug. 2025];11(2):78-80. Available from: https://doi.org/10.5222/j.child.2011.078 doi: 10.5222/j.child.2011.078


ISNAD

Yılmaz, Resul - Özçetin, Mustafa - Karaarslan, Erhan - Esmeray, Haluk. An Early Detected Alkaptonuria: Case Report”. Journal of Child 11/2 (Aug. 2025): 78-80. https://doi.org/10.5222/j.child.2011.078



TIMELINE


Published Online30.12.2011

SHARE



Istanbul University Press aims to contribute to the dissemination of ever growing scientific knowledge through publication of high quality scientific journals and books in accordance with the international publishing standards and ethics. Istanbul University Press follows an open access, non-commercial, scholarly publishing.