Wilke Andreas, Steverding Dietmar
Kardiologische Praxis Papenburg, Papenburg, Germany.
J Med Case Rep. 2009 Nov 27;3:9302. doi: 10.1186/1752-1947-3-9302.
Alkaptonuria (also known as ochronosis) is a genetic disorder characterised by the accumulation of homogentisic acid deposits in connective tissue. In rare cases, ochronosis can cause valvular heart disease.
We present the case of a 68-year-old Caucasian man with alkaptonuria-associated degenerative valvular defects with aortic, mitral and tricuspid valve insufficiency. The patient did not have any cardiac complaints and was referred to our clinic for evaluation of a conspicuous new heart murmur.
This case report shows that early diagnosis of cardiovascular ochronosis gives us the opportunity to use conservative treatment to slow down the progression of valvular dysfunction.
黑尿症(也称为褐黄病)是一种遗传性疾病,其特征是在结缔组织中累积尿黑酸沉积物。在罕见情况下,褐黄病可导致心脏瓣膜病。
我们报告一例68岁的白种男性患者,患有与黑尿症相关的退行性瓣膜缺陷,伴有主动脉瓣、二尖瓣和三尖瓣关闭不全。该患者无任何心脏不适症状,因新发明显心脏杂音而转诊至我院进行评估。
本病例报告表明,心血管褐黄病的早期诊断使我们有机会采用保守治疗来减缓瓣膜功能障碍的进展。