Valtrex helps in slowing the spread and growth of the herpes virus and helps the body to fight the infection. Though it can reduce the infection’s symptoms, it is not a cure for herpes. This medicine is used for the treatment of infections which are caused by herpes virus both in children and adults. Infections caused by herpes virus are chickenpox, cold sores, shingles and genital herpes. This drug can be used to combat cold sores in children above the age of 12 years or for the treatment of chickenpox especially in children above the age of 2 years. You should consult your doctor prior to taking Valtrex (Valacyclovir) if you have AIDS/h2IV, kidney disease, weak immune system or if you have had bone marrow or a kidney transplant. 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D., Non ASSR Member Excerpta Extraordinaire Mentor Award: No Institution where work was conducted William Beaumont Hospital Affiliation and Department Diagnostic Radiology, William Beaumont Hospital 100 RO Address 3601 W. Royal Oak, Michigan 48073 Phone: 2488980648, Fax: 2488985490 Email: [email protected] Alkaptonuria (Ochronosis) is a rare metabolic disorder characterized by deficiency of homogentisic acid oxidase. Increased signal intensity on T1 weighted images in connective tissue elsewhere in the body has been described due to the paramagnetic effects of the deposited metabolites. We present a case of a 49 year old man who presented with acute radiculopathy superimposed on chronic back pain who did not have an established diagnosis of alkaptonuria. MRI demonstrated a hyperintense disc on T1 weighted images. The imaging findings and the nature of the disc led to a diagnostic evaluation that confirmed the diagnosis of alkaptonuria. 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