MEDICAL 1, JINNAH HOSPITAL, LAHORE
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MEDICAL 1, JINNAH HOSPITAL, LAHORE

Forum dedicated to the staff of Medical 1, Jinnah hospital, Lahore.


Spinal and Peripheral Arthropathy

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MEDICAL 1, JINNAH HOSPITAL, LAHORE :: News from the ward :: General Discussion

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Spinal and Peripheral Arthropathy Empty Spinal and Peripheral Arthropathy

Post  Abbas Mon Jan 10, 2011 5:52 pm

A 40 year old male, otherwise an avid foot player in past, quit the game as he developed back pain followed shortly by pain in knee joints.

Spinal and Peripheral Arthropathy Ochron10

Sports doctor noticed skin pigmentation developing over years especially in ear. He tested positive for urine sugar as well

Spinal and Peripheral Arthropathy Ochron11

Treatment with multiple pain killers and steroids failed to bring significant improvement. How would you go about this case?

Abbas

Posts : 48
Join date : 2010-06-15

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Spinal and Peripheral Arthropathy Empty Re: Spinal and Peripheral Arthropathy

Post  Dr Hira Tariq Tue Jan 11, 2011 3:16 pm

Is it ochronosis....with wide areas of calcification in the intervertebral discs and degenerative changes in the peripheral joints...and bluish brown pigmentation of ear (and nasal) cartilage. his urine should be tested for homogentisic acid.

Dr Hira Tariq

Posts : 22
Join date : 2010-11-24

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Spinal and Peripheral Arthropathy Empty Correct

Post  Abbas Tue Jan 11, 2011 5:55 pm

Absolutely. Its Ochronosis (Alkaptonuria)

Abbas

Posts : 48
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Spinal and Peripheral Arthropathy Empty Re: Spinal and Peripheral Arthropathy

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MEDICAL 1, JINNAH HOSPITAL, LAHORE :: News from the ward :: General Discussion

 
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