Alkaptonuria is a hereditary disorder caused by a deficiency of the enzyme homogentisate oxidase. This enzyme is responsible for breaking down a precursor of phenylalanine, an amino acid found in proteins. Without the enzyme, the precursor accumulates in the body and is excreted in the urine, turning it dark when exposed to air. People with alkaptonuria may experience joint and cartilage problems, kidney and bladder stones, and heart valve problems.
Symptoms of Alkaptonuria
The most characteristic symptom of alkaptonuria is the darkening of the urine when it is exposed to air. Other symptoms can include joint and cartilage problems, kidney and bladder stones, and heart valve problems.
Diagnosis of Alkaptonuria
The diagnosis of alkaptonuria is made by a combination of clinical and laboratory findings. In the clinical setting, a doctor will look for the characteristic darkening of the urine when it is exposed to air. In the laboratory setting, a doctor will order a urine test to detect the presence of homogentisic acid, a precursor of phenylalanine.
Treatment of Alkaptonuria
There is no cure for alkaptonuria, but there are treatments available to help manage the symptoms. These include medications to help reduce joint and cartilage problems, as well as dietary modifications to reduce the production of homogentisic acid. In some cases, surgery may be required to address heart valve problems.