Assessment of disability in patients with alkaptonuria

Alexander V. Kuzin; Кузин Александр Васильевич; Elena M. Zaytseva; Зайцева Елена Михайловна; Vera N. Amirdzhanova; Амирджанова Вера Николаевна; Sergey A. Makarov; Макаров Сергей Анатольевич; Jahangir S. Agzamov; Агзамов Джахангир Салимович; Khalid G. Ismailov; Исмаилов Халид Габибович; Vadim V. Zar; Зар Вадим Владимирович; Elena A. Dolzhenkova; Долженкова Елена Александровна; Natalia N. Politova; Политова Наталья Николаевна

doi:10.17816/MSER35167

Assessment of disability in patients with alkaptonuria

Authors: Kuzin A.V.¹^,2, Zaytseva E.M.¹, Amirdzhanova V.N.³, Makarov S.A.², Agzamov J.S.⁴, Ismailov K.G.⁵, Zar V.V.⁶, Dolzhenkova E.A.⁷, Politova N.N.⁸
Affiliations:
1. Russian Medical Academy of Continuous Professional Education (FSBEI FPE RMACPE)
2. Federal State Budgetary Scientific Institution Research Institute of Rheumatogy named after V.A. Nasonova
3. 2 Federal State Budgetary Scientific Institution Research Institute of Rheumatogy named after V.A. Nasonova
4. Federal Research and Clinical Center of Specialized Medical Care and Medical Technologies FMBA of Russia (FRCC FMBA)
5. A.A. Vishnevsky Central Military Clinical Hospital № 3
6. The State Budgetary Healthcare Institution of Moscow Area Moscows regional research clinical institute n.a. M.F. Vladimirskiy (MRRCI n.a. M.F. Vladimirskiy)
7. Ryazan Regional Clinical Hospital
8. Kirov State Medical University
Issue: Vol 23, No 2 (2020)
Pages: 42-45
Section: Current problems of medical and social expertise
URL: https://rjmseer.com/1560-9537/article/view/35167
DOI: https://doi.org/10.17816/MSER35167
ID: 35167

Cite item

Full Text

Open Access
Restricted Access

Access granted
Restricted Access

Subscription or Fee Access

Abstract
Full Text
About the authors
References
Supplementary files
Statistics

Abstract

Background. Alkaptonuria is an orphan, autosomal recessive disease in which clinical symptoms debut in adulthood and are characterized by progressive degenerative changes in large joints (knee, hip, shoulder) and the spine, often leading to the need for joint replacement. Developing changes often lead to persistent disability.

The purpose of this study was to evaluate disability among adult patients with alkaptonuria.

Materials and methods. The study included 46 adult patients (31 m − 67.4% and 15 w − 32.6%) with a reliable diagnosis of alkaptonuria at the age of 20 to 76 years (avg age 56.83 ± 10.52). The assessment of the presence of a disability group at the time of patients’ treatment to a rheumatologist was carried out.

Results. It turned out that disability was determined in 34 (75.6%) patients, there were no signs of persistent disability in 11 patients (24.4%). Among the patients who had signs of persistent disability, most often during the survey period, group 2 disability was established (61.8%), the differences between this and other groups were statistically significant (p < 0.05). For the first time, disability in the study cohort of patients was established at the age of 31 to 59 years (the average age was 50.83 ± 5.5 years).

Conclusions. It is important to note that in the vast majority of cases, persistent disability occurs in patients who were of working age, which underscores the importance of alkaptonuria as a medical and social problem.

Keywords

alkaptonuria, ochronosis, arthropathy, disability

Full Text

Khalid G. Ismailov

A.A. Vishnevsky Central Military Clinical Hospital № 3

Email: Ismailov_endo@mail.ru
Russian Federation, Moscow

Vadim V. Zar

The State Budgetary Healthcare Institution of Moscow Area Moscows regional research clinical institute n.a. M.F. Vladimirskiy (MRRCI n.a. M.F. Vladimirskiy)

Email: Vzar@list.ru
ORCID iD: 0000-0002-4021-798X

MD, PhD

Russian Federation, Moscow