AI Article Synopsis

  • * Common substances that can lead to this condition include hydroquinone and other phenolic compounds, which result in a distinctive "banana-shaped" pigment appearance under a microscope.
  • * The authors discuss a rare case where chronic use of Teavigo, a supplement high in antioxidants, triggered exogenous ochronosis in areas such as the conjunctiva, sclera, and skin.

Article Abstract

Exogenous ochronosis refers to accumulation of homogentisic acid metabolites in tissues, manifesting as pigmentation of affected tissues. Phenolic compounds are most commonly implicated, including hydroquinone, quinine, phenol, resorcinol, mercury, and picric acid. The affected connective tissues exhibit brownish discoloration when heavily pigmented and the histopathological appearance is characteristic with "banana-shaped" ochre-colored pigment deposits. Herein, the authors describe a rare case of exogenous ochronosis involving the conjunctiva, sclera and skin, as a result of chronic use of Teavigo (94% epigallocatechin gallate), a polyphenol compound with postulated antioxidant and antiapoptotic activity.

Download full-text PDF

Source
http://dx.doi.org/10.1097/IOP.0000000000002395DOI Listing

Publication Analysis

Top Keywords

exogenous ochronosis
12
chronic teavigo
8
ochronosis ocular
4
ocular involvement
4
involvement chronic
4
teavigo exogenous
4
ochronosis refers
4
refers accumulation
4
accumulation homogentisic
4
homogentisic acid
4

Similar Publications

Melasma is a challenging, acquired hyperpigmentary disorder. The gold standard treatment is Kligman's formulation, which contains hydroquinone, tretinoin, and dexamethasone, but its long-term use is limited by the risk of exogenous ochronosis. Cysteamine, a tyrosinase inhibitor, reduces melanocyte activity and melanin production, showing strong depigmenting effects in patients resistant to Kligman's formulation.

View Article and Find Full Text PDF

Alkaptonuria (AKU) is an extremely rare autosomal recessive metabolic disorder caused by deficiency of homogentisic acid oxidase and resulting in accumulation of homogentisic acid in collagenous structures. It is characterized by a triad of homogentisic aciduria, bluish-black discoloration of connective tissues (ochronosis) and arthropathy of large weight bearing joints. We report on a middle-aged female patient with bilateral severe ochronotic arthritis of both hips and shoulder joints requiring total joint replacements as staged procedures which were done without complications offering a complete pain relief and a satisfactory clinical and functional outcome.

View Article and Find Full Text PDF
Article Synopsis
  • Alkaptonuric ochronosis is a condition caused by the buildup of homogentisic acid in body tissues, often associated with the rare genetic disorder alkaptonuria due to a specific enzyme deficiency.
  • A case report describes a 64-year-old woman with serious heart issues who exhibited ochronotic pigmentation in her heart valves and surrounding structures, highlighting the condition's impact on cardiovascular health.
  • This case underscores the importance of considering ochronosis as a potential factor in diagnosing valvular diseases even when a patient hasn’t been previously diagnosed with alkaptonuria.
View Article and Find Full Text PDF

Exogenous Ochronosis With Vitiligo: A Therapeutic Challenge.

Skin Res Technol

October 2024

Department of Dermatology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!