The condition known as ochronosis refers to the accumulation of oxidized homogentisic acid in the connective tissues of alkaptonuric patients. The diagnosis is usually made from the triad of degenerative arthritis, ochronotic connective tissue pigmentation and urine chat turns dark brown or black on alkalinization. Cardiovascular disease is a less well appreciated aspect of this disorder. A patient with ochronosis of his stenotic aortic valve is reported. The role of the pigment in the genesis of the valve degeneration is discussed.
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Peking Univ, Peoples Hosp, Dept Anesthesiol, Beijing, Peoples R China
Harvard Med Sch, Beth Israel Deaconess Med Ctr, Dept Anesthesia Crit Care & Pain Med, Boston, MA USAPeking Univ, Peoples Hosp, Dept Anesthesiol, Beijing, Peoples R China
Hai, Ting
Amador, Yannis
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Harvard Med Sch, Beth Israel Deaconess Med Ctr, Dept Anesthesia Crit Care & Pain Med, Boston, MA USA
Univ Costa Rica, Hosp Mexico, Dept Anesthesia, San Jose, Costa RicaPeking Univ, Peoples Hosp, Dept Anesthesiol, Beijing, Peoples R China
Amador, Yannis
Jiang, Luyang
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Peking Univ, Peoples Hosp, Dept Anesthesiol, Beijing, Peoples R ChinaPeking Univ, Peoples Hosp, Dept Anesthesiol, Beijing, Peoples R China
Jiang, Luyang
Ju, Hui
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Peking Univ, Peoples Hosp, Dept Anesthesiol, Beijing, Peoples R ChinaPeking Univ, Peoples Hosp, Dept Anesthesiol, Beijing, Peoples R China
Ju, Hui
Yu, Chao
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Peking Univ, Peoples Hosp, Dept Cardiol, Beijing, Peoples R ChinaPeking Univ, Peoples Hosp, Dept Anesthesiol, Beijing, Peoples R China
Yu, Chao
Feng, Yi
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Peking Univ, Peoples Hosp, Dept Anesthesiol, Beijing, Peoples R ChinaPeking Univ, Peoples Hosp, Dept Anesthesiol, Beijing, Peoples R China
Feng, Yi
Mahmood, Feroze
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Harvard Med Sch, Beth Israel Deaconess Med Ctr, Dept Anesthesia Crit Care & Pain Med, Boston, MA USAPeking Univ, Peoples Hosp, Dept Anesthesiol, Beijing, Peoples R China
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Department of Cardiovascular and Thoracic Surgery, Grant Medical College & Sir J.J. Group of Hospitals, 5th floor, Byculla, Mumbai, 400008, MaharashtraDepartment of Cardiovascular and Thoracic Surgery, Grant Medical College & Sir J.J. Group of Hospitals, 5th floor, Byculla, Mumbai, 400008, Maharashtra
Parashi H.S.
Joshi M.M.
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Department of Cardiovascular and Thoracic Surgery, Grant Medical College & Sir J.J. Group of Hospitals, 5th floor, Byculla, Mumbai, 400008, MaharashtraDepartment of Cardiovascular and Thoracic Surgery, Grant Medical College & Sir J.J. Group of Hospitals, 5th floor, Byculla, Mumbai, 400008, Maharashtra
Joshi M.M.
Jadhao M.R.
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Department of Cardiovascular and Thoracic Surgery, Grant Medical College & Sir J.J. Group of Hospitals, 5th floor, Byculla, Mumbai, 400008, MaharashtraDepartment of Cardiovascular and Thoracic Surgery, Grant Medical College & Sir J.J. Group of Hospitals, 5th floor, Byculla, Mumbai, 400008, Maharashtra
Jadhao M.R.
Rawekar K.H.
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Department of Cardiovascular and Thoracic Surgery, Grant Medical College & Sir J.J. Group of Hospitals, 5th floor, Byculla, Mumbai, 400008, MaharashtraDepartment of Cardiovascular and Thoracic Surgery, Grant Medical College & Sir J.J. Group of Hospitals, 5th floor, Byculla, Mumbai, 400008, Maharashtra
Rawekar K.H.
Bhosle K.N.
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Department of Cardiovascular and Thoracic Surgery, Grant Medical College & Sir J.J. Group of Hospitals, 5th floor, Byculla, Mumbai, 400008, MaharashtraDepartment of Cardiovascular and Thoracic Surgery, Grant Medical College & Sir J.J. Group of Hospitals, 5th floor, Byculla, Mumbai, 400008, Maharashtra