| Revue: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296656 |
| ISSN: | 1677-5538 |
| Autores: | Carvalho, Mauricio1 Vieira, Marcos A2 |
| Instituciones: | 1Faculdade Evangelica do Parana, Hospital Evangelico de Curitiba, Curitiba, Parana. Brasil 2Pontificia Universidade Catolica do Parana, Curitiba, Parana. Brasil |
| Año: | 2004 |
| Periodo: | May-Jun |
| Volumen: | 30 |
| Número: | 3 |
| Paginación: | 205-209 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | PURPOSE: To study the changes in calcium oxalate crystal morphology induced by different levels of supersaturation (SS) in human urine. MATERIALS AND METHODS: Twenty-four hours urine samples from 5 normal men were collected. Each specimen was centrifuged and filtered. About 200 mL of each sample was dialyzed overnight. Aliquots of 2 mL of urine was then added to a 24-wells tissue culture plate and checked for crystal absence. Calcium oxalate crystals were precipitated from each sample by adding sodium oxalate and calcium chloride in sufficient quantities to induce spontaneous crystallization. Finally, each plate hole was examined with an inverted polarized microscope (X500 magnification). Initial SS of each sample relative to calcium oxalate was calculated using an iterative computer program. RESULTS: Crystal formation was connecte to relative calcium oxalate (CaOx) SS. At SS of 10, small crystals of similar shape were formed, mainly CaOx dihydrate morphology. At SS of 30, there was an enormous increase in the number of crystals, that kept the same size. SS greater than 50 produced larger crystals with different shapes and multiple crystalline aggregates. Urine was able to tolerate, i.e., to avoid crystal formation, until SS ratios of approximately 10. CONCLUSIONS: Relative CaOx SS and the concentration ratio of calcium to oxalate are important determinanting factors of crystal morphology. Non-dialyzable urinary proteins can act as inhibitors and influence the structure of formed crystals |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Nefrología, Urolitiasis, Cristalización, Oxalato de calcio, Orina |
| Keyword: | Medicine, Nephrology, Surgery, Urolithiasis, Crystallization, Calcium oxalate, Urine |
| Texte intégral: | Texto completo (Ver HTML) |
