- Rare inherited genetic disease (usually AR) of the enzyme homogentisate dioxygenase.
- The body accumulates homogentisic acid in the blood and tissues.
- Homogentisic acidàoxidizedàalkaptonàexcreted in the urineàdark color (normal urine on the left in the photo)
- Ochronosis: accumulating homogentisic acid causes damage to cartilage leading to osteoarthritis.