Hereditary ochronosis: hyperpigmented skin overlying cartilaginous structures
Garcia, S.F.; Egbert, B.; Swetter, S.M.
Cutis 63(6): 337-338
1999
ISSN/ISBN: 0011-4162 PMID: 10388955 Document Number: 509006
Hereditary ochronosis, or alkaptonuria, results from deficiency of homogentisic acid oxidase. It is an autosomal recessive condition found in geographically isolated populations. The excess homogentisic acid deposits in collagenous structures, leading to unusual pigmentation of the skin overlying cartilaginous structures, but on occasion pigment is also seen in the sclera, in sweat after oxidation, and classically, in urine when left standing at room temperature. This case report highlights the pathogenesis and expression of this rare disorder.