From Chronic Use of Minocycline to Pigmented Unicuspid Aortic Valve: A Unique Single Case

We discuss the case of a 47-year-old female who presented to our institution with progressive exertional shortness of breath. Her history was notable for severe acne medicated with 100 mg oral daily minocycline for 2 years and a presumptive diagnosis of a bicuspid aortic valve. Investigations reveal...

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Main Authors: Nour B. Odeh, Juan M. Farina, Pete J. Manchen, Kristen A. Sell-Dottin, Bryan Barrus
Format: Article
Language:English
Published: Houston Methodist DeBakey Heart & Vascular Center 2025-03-01
Series:Methodist DeBakey Cardiovascular Journal
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Online Access:https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1564
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author Nour B. Odeh
Juan M. Farina
Pete J. Manchen
Kristen A. Sell-Dottin
Bryan Barrus
author_facet Nour B. Odeh
Juan M. Farina
Pete J. Manchen
Kristen A. Sell-Dottin
Bryan Barrus
author_sort Nour B. Odeh
collection DOAJ
description We discuss the case of a 47-year-old female who presented to our institution with progressive exertional shortness of breath. Her history was notable for severe acne medicated with 100 mg oral daily minocycline for 2 years and a presumptive diagnosis of a bicuspid aortic valve. Investigations revealed severe aortic stenosis, prompting a decision for elective aortic valve repair. Intraoperatively, significant calcification of a unicuspid aortic valve, atypically blackened valve, and endocardium of the left ventricle and aorta were visualized.
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publishDate 2025-03-01
publisher Houston Methodist DeBakey Heart & Vascular Center
record_format Article
series Methodist DeBakey Cardiovascular Journal
spelling doaj-art-3fb6d6422a254b63a18759ae191c28bc2025-08-20T03:25:30ZengHouston Methodist DeBakey Heart & Vascular CenterMethodist DeBakey Cardiovascular Journal1947-61082025-03-01211303410.14797/mdcvj.15641542From Chronic Use of Minocycline to Pigmented Unicuspid Aortic Valve: A Unique Single CaseNour B. Odeh0https://orcid.org/0000-0002-9036-9906Juan M. Farina1https://orcid.org/0000-0002-5824-8485Pete J. Manchen2https://orcid.org/0009-0005-5020-6810Kristen A. Sell-Dottin3https://orcid.org/0000-0001-5933-3537Bryan Barrus4https://orcid.org/0000-0003-3959-8268Mayo Clinic, Phoenix, ArizonaMayo Clinic, Phoenix, ArizonaMayo Clinic, Phoenix, ArizonaMayo Clinic, Phoenix, ArizonaMayo Clinic, Phoenix, ArizonaWe discuss the case of a 47-year-old female who presented to our institution with progressive exertional shortness of breath. Her history was notable for severe acne medicated with 100 mg oral daily minocycline for 2 years and a presumptive diagnosis of a bicuspid aortic valve. Investigations revealed severe aortic stenosis, prompting a decision for elective aortic valve repair. Intraoperatively, significant calcification of a unicuspid aortic valve, atypically blackened valve, and endocardium of the left ventricle and aorta were visualized.https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1564minocyclineminocycline induced hyperpigmentation (mih)alkaptonuriacardiovascular hyperpigmentationvalvular pigmentationaortic stenosiscardiovascular ochronosis
spellingShingle Nour B. Odeh
Juan M. Farina
Pete J. Manchen
Kristen A. Sell-Dottin
Bryan Barrus
From Chronic Use of Minocycline to Pigmented Unicuspid Aortic Valve: A Unique Single Case
Methodist DeBakey Cardiovascular Journal
minocycline
minocycline induced hyperpigmentation (mih)
alkaptonuria
cardiovascular hyperpigmentation
valvular pigmentation
aortic stenosis
cardiovascular ochronosis
title From Chronic Use of Minocycline to Pigmented Unicuspid Aortic Valve: A Unique Single Case
title_full From Chronic Use of Minocycline to Pigmented Unicuspid Aortic Valve: A Unique Single Case
title_fullStr From Chronic Use of Minocycline to Pigmented Unicuspid Aortic Valve: A Unique Single Case
title_full_unstemmed From Chronic Use of Minocycline to Pigmented Unicuspid Aortic Valve: A Unique Single Case
title_short From Chronic Use of Minocycline to Pigmented Unicuspid Aortic Valve: A Unique Single Case
title_sort from chronic use of minocycline to pigmented unicuspid aortic valve a unique single case
topic minocycline
minocycline induced hyperpigmentation (mih)
alkaptonuria
cardiovascular hyperpigmentation
valvular pigmentation
aortic stenosis
cardiovascular ochronosis
url https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1564
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