Journal: | International braz j urol |
Database: | PERIÓDICA |
System number: | 000296518 |
ISSN: | 1677-5538 |
Authors: | Peres, Luis A. B1 Molina, Andre S Galles, Marcos H.L |
Institutions: | 1Universidade Estadual do Oeste do Parana, Cascavel, Parana. Brasil |
Year: | 2003 |
Season: | May-Jun |
Volumen: | 29 |
Number: | 3 |
Pages: | 217-220 |
Country: | Brasil |
Language: | Inglés |
Document type: | Artículo |
Approach: | Caso clínico, analítico |
English abstract | OBJECTIVE: To assess the prevalence of the main metabolic alterations found in patients with recent diagnosis of urolithiasis in the West region of Paraná state, Brazil. MATERIALS AND METHODS: We made a retrospective study on 425 patients with evidence of recent formation of renal stones. Laboratory assessment consisted in 3 samples of 24-hour urine with dosing of calcium, uric acid, citrate, oxalate, sodium and creatinine. A urine culture was also made and qualitative cystinuria and urinary pH following 12-hour fasting and water restriction were evaluated. RESULTS: In 96.5% of patients a cause was detected for the urolithiasis. Metabolic alterations most frequently found were: hypercalciuria (38.3%), hypocitraturia (29.6%) and hyperexcretion of uric acid (21.6%). Low urinary volume (17.9%), urinary tract infection (12.9%), hyperparathyroidism (3.3%), renal tubular acidosis (1.2%), cystinuria (0.9%) and anatomical alterations (12.7%) were also observed. CONCLUSIONS: Hypercalciuria, hypocitraturia and hyperuricuria are the most frequent metabolic disorders in the population under study and these data are in accordance to the literature |
Disciplines: | Medicina |
Keyword: | Cirugía, Endocrinología, Urolitiasis, Enfermedades metabólicas, Factores de riesgo, Oxalato de calcio, Calcio |
Keyword: | Medicine, Endocrinology, Surgery, Urolithiasis, Metabolic diseases, Risk factors, Calcium oxalate, Calcium |
Full text: | Texto completo (Ver HTML) |