Not just another case of low back pain

Kristin Etzkorn; Alyce M. Oliver

doi:10.1136/bcr-2014-204085

Not just another case of low back pain

Kristin Etzkorn, Alyce M. Oliver

Rheumatology

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

A 55-year-old woman presented with persistent, progressive low back and neck pain for 5 years that had failed conservative therapy with analgesics and epidural injections. Physical examination revealed range of motion of lumbar and cervical spine were significantly limited in all directions and she had a bluish discolouration of the pinnae bilaterally. She had elevated urinary excretion of homogentisic acid, diagnostic of alkaptonuria. Further investigation with imaging of the spine revealed diffuse advanced degenerative disease of the cervical and lumbar spine consistent with ochronotic arthropathy.

Original language	English (US)
Journal	BMJ Case Reports
DOIs	https://doi.org/10.1136/bcr-2014-204085
State	Published - Apr 29 2014

ASJC Scopus subject areas

General Medicine

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abstract = "A 55-year-old woman presented with persistent, progressive low back and neck pain for 5 years that had failed conservative therapy with analgesics and epidural injections. Physical examination revealed range of motion of lumbar and cervical spine were significantly limited in all directions and she had a bluish discolouration of the pinnae bilaterally. She had elevated urinary excretion of homogentisic acid, diagnostic of alkaptonuria. Further investigation with imaging of the spine revealed diffuse advanced degenerative disease of the cervical and lumbar spine consistent with ochronotic arthropathy.",

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AB - A 55-year-old woman presented with persistent, progressive low back and neck pain for 5 years that had failed conservative therapy with analgesics and epidural injections. Physical examination revealed range of motion of lumbar and cervical spine were significantly limited in all directions and she had a bluish discolouration of the pinnae bilaterally. She had elevated urinary excretion of homogentisic acid, diagnostic of alkaptonuria. Further investigation with imaging of the spine revealed diffuse advanced degenerative disease of the cervical and lumbar spine consistent with ochronotic arthropathy.

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Not just another case of low back pain

Abstract

ASJC Scopus subject areas

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