Alkaptonuria is a rare inherited disorder caused by a deficiency of the enzyme homogentisate 1,2-dioxygenase (HGO). This enzyme helps to break down the amino acid tyrosine into molecules that can be used by the body. When this enzyme is not functioning correctly, the waste product homogentisic acid (HGA) accumulates in the body and is excreted in the urine. This can lead to a range of symptoms, including joint pain, heart problems, and dark urine.
Symptoms of Alkaptonuria
People with alkaptonuria may experience a range of symptoms, including joint pain, dark urine, and heart problems. The most common symptom is dark or black urine, which is caused by the accumulation of HGA in the urine. This can occur even when the person is not experiencing any other symptoms. Other symptoms may include:
• Joint pain and stiffness, particularly in the lower back, hips, and knees
• Cardiovascular problems, such as heart valve damage and thickening of the heart muscle
• Kidney stones
• Skin discoloration, which can be seen in the areas exposed to sunlight
• Cataracts
Diagnosis of Alkaptonuria
Alkaptonuria is diagnosed using a urine test to detect elevated levels of HGA. A blood test can also be used to detect the absence of the enzyme HGO. In some cases, genetic testing may be used to confirm the diagnosis.
Treatment of Alkaptonuria
There is no cure for alkaptonuria, but there are several ways to manage the symptoms. These include avoiding certain foods that are high in tyrosine, such as cheese and chocolate, and taking medications, such as acetaminophen, to reduce joint pain. Surgery may also be used to correct some of the heart problems associated with the disorder.