Madsen Ole Rintek, Harr Mette Bjørndal, Dirksen Karen-Lisbeth, Jensen Hanne Slott
Reumatologisk Funktion, Medicinsk Afdeling C, Gentofte Hospital, DK-2900 Hellerup.
Ugeskr Laeger. 2008 Nov 24;170(48):3961-2.
We describe a patient with ochronotic spondyloarthropathy who presented with severe spinal stiffness, advanced degenerative changes in the spine with ossifications of the intervertebral discs and subchondral sclerosis of the sacroiliac joints. The diagnosis of ochronosis was verified by detection of homogentisic acid in the urine. Ochronosis is rare, but should be kept in mind as a differential diagnosis to other spondyloarthropathies including AS.
我们描述了一名患有褐黄病性脊椎关节病的患者，该患者表现为严重的脊柱僵硬、脊柱的晚期退行性改变伴椎间盘骨化以及骶髂关节软骨下硬化。通过检测尿液中的尿黑酸证实了褐黄病的诊断。褐黄病很罕见，但作为包括强直性脊柱炎（AS）在内的其他脊椎关节病的鉴别诊断应予以考虑。
