Why is Benedict’s test positive in alkaptonuria?

FAQ

Benedict’s test is a chemical test used to detect the presence of reducing sugars, such as glucose, in a solution. It involves mixing the test solution with Benedict’s reagent, which contains copper sulfate, sodium carbonate, and sodium citrate. When heated, the copper ions in the reagent are reduced to form a red precipitate of copper(I) oxide.

In the case of alkaptonuria, a rare inherited metabolic disorder, the Benedict’s test can give a positive result due to the presence of a specific reducing substance called homogentisic acid. Alkaptonuria is characterized by a deficiency of the enzyme homogentisate 1,2-dioxygenase, which is responsible for the breakdown of homogentisic acid.

As a result of this enzyme deficiency, homogentisic acid cannot be properly metabolized and accumulates in the body. When a person with alkaptonuria undergoes the Benedict’s test, the accumulated homogentisic acid can react with the copper ions in the Benedict’s reagent, causing a reduction reaction and the formation of a red precipitate.

Therefore, the positive Benedict’s test in alkaptonuria is an indirect indication of the presence of homogentisic acid, a characteristic finding in individuals with this disorder. It’s worth noting that the Benedict’s test alone cannot confirm the diagnosis of alkaptonuria, as there may be other causes of a positive test result. Confirmation typically requires additional laboratory tests and clinical evaluation.

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