Premature arthritis in an elderly woman.
We, in this study, report a 72-year-old woman presenting with premature osteoarthritis of the spine, the hips, the knees and the shoulders symptomatic since the age of 50 years. The initial presentation of backache led to a mistaken diagnosis of ankylosing spondylitis. Subsequent manifestation of characteristic discoloration of her sclera and overnight dark urine led to the correct diagnosis of ochronosis.
Gupta
A
A
Department of Medicine and Elderly Care, West Wales Hospital, Carmarthen, UK. guptaabhaya@hotmail.com
Jayanti
A
A
Prasanna
K
K
D017668:Age of Onset; D000368:Aged; D000474:Alkaptonuria / Q000175:diagnosis*; D001416:Back Pain / Q000209:etiology; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D009794:Ochronosis / Q000175:diagnosis*; D010003:Osteoarthritis / Q000175:diagnosis*; D013167:Spondylitis, Ankylosing / Q000175:diagnosis*