Backache due to alkaptonuria in a middle aged man

Alkaptonuria is a rare cause of backache. A 55 years old gentleman, a retired army personal had been having pain and stiffness in the spine for the last 15 years, accompanied by bluish black discolouration of face and hands. Kyphosis and reduced movement of spine were present. Other joints were spared. Osler spots were visible on the sclera. X-rays revealed calcification of intervertebral discs. Asymptomatic renal stone was identified. There was no cardiac involvement. Symptomatic care was provided.

Lipoma in perineum- an unusual location

Subcutanoeus lipomas are rarely seen in the perineum. We describe a 55 years old man with four years history of a 10cm long soft lobulated mass between the scrotum and anus.This was successfully excised and was shown to be a lipoma on histopathological exam