Alkaptonuria is a rare inherited disorder caused by a deficiency of an enzyme called homogentisic acid oxidase (HGO). This enzyme is responsible for breaking down the amino acid tyrosine, which is found in many foods. As a result of the deficiency, a substance called homogentisic acid (HGA) builds up in the body and is excreted in the urine. The urine becomes dark, almost black, after it has been exposed to air for a few hours. This is known as "alkaptonuria."
Symptoms of Alkaptonuria
People with alkaptonuria typically experience joint pain, especially in the spine and hips, as well as discoloration of the urine. Other symptoms may include darkening of the skin, darkening of the sclera (the white part of the eye), and darkening of body tissues.
Diagnosis of Alkaptonuria
Alkaptonuria is typically diagnosed by a urine test. The urine is tested for the presence of high levels of homogentisic acid (HGA).
Treatment of Alkaptonuria
There is no cure for alkaptonuria, but some treatments are available to help reduce symptoms. These include dietary changes to reduce the amount of tyrosine in the diet, medications to reduce joint pain, and physical therapy to improve joint mobility.