UROLITHIASIS IN CHILDHOOD - METABOLIC EVALUATION

被引:56
作者
PERRONE, HC
DOSSANTOS, DR
SANTOS, MV
PINHEIRO, ME
TOPOROVSKI, J
RAMOS, OL
SCHOR, N
机构
[1] Nephrology Division, Paediatric Department of Santa Casa (SP), São Paulo
[2] Nephrology Division, Department of Medicine, Escola Paulista of Medicina, São Paulo, 04023, Rua Botucatu
关键词
UROLITHIASIS; HYPERCALCIURIA; METABOLIC ABNORMALITY; URIC ACID HYPEREXCRETION;
D O I
10.1007/BF00856834
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
In order to determine metabolic disorders in children with urolithiasis, 50 patients with urinary calculi were studied. Abdominal pain and/or haematuria were the most predominant symptoms. Surgical procedures were required in 22% of these children and urinary tract infection was observed in 34% of this group. Only 2 children had anatomical malformations of the urinary tract. Absorptive hypercalciuria (32%), renal hypercalciuria (34%) and uric acid hyperexcretion (24%) were the most common metabolic abnormalities in these children. We were unable to find an underlying metabolic abnormality in only 14% of the patients. These data suggest that appropriate metabolic study will allow rational management of children with urinary stones.
引用
收藏
页码:54 / 56
页数:3
相关论文
共 16 条
[1]  
Bennett A.H., Colodny A.H., Urinary tract calculi in children, J Urol, 109, pp. 318-320, (1973)
[2]  
Androulakakis P.A., Barrat T.M., Ransley P.G., Urinary calculi in children, Br J Urol, 54, pp. 176-182, (1982)
[3]  
Walther P.C., Lamm D., Kaplan G.W., Pediatric urolithiasis. A ten year review, Pediatrics, 65, pp. 1068-1072, (1980)
[4]  
Freundlich E., Saab K., Bitterman W., Urinary calculi in children, J Urol, 20, pp. 503-507, (1982)
[5]  
Schor N., Santos D.R., Ajzen H., Ramos O.L., Litiase renal: estudo metabolico e tratamento clinico, Rev Assoc Med Bras, 29, pp. 21-26, (1983)
[6]  
Malek R.S., Kelalis P.P., Pediatric urolithiasis, J Urol, 113, pp. 545-550, (1976)
[7]  
Stapleton F.B., McKay C.P., Noe N., Urolithiasis in children: the role of hypercalciuria, Pediatics, 16, pp. 980-992, (1987)
[8]  
Broadus A.E., Mahaffey J.E., Bartter F.C., Neer R.M., Nephrogenous cyclic AMP as a parathyroid function test, J Clin Invest, 60, pp. 771-783, (1977)
[9]  
Eichhorm F., Zelmanowski S., Lew E., Ruttemberg A., Fenras B., Improvement of the uric acid determination by carbonate method for serum and urine, Journal of Clinical Pathology, 14, pp. 450-460, (1961)
[10]  
Fiske C.H., Subbarrow Y., Inorganic phosphate, J Biol Chem, 66, pp. 375-376, (1925)