… Results: In fully adjusted analyses, lower dietary calcium, potassium, caffeine, phytate, and fluid intake were all associated with a higher odds of an incident symptomatic kidney stone. Among incident stone formers, 73 experienced symptomatic recurrence during a median 4.1 years of followup. Adjusting for body mass index, fluid intake, and energy intake, lower dietary … Leggi tutto
Nephrolithiasis in children is a painful and costly disease that may also have detrimental long-term effects on kidney function. Recent data provide evidence that the incidence of nephrolithiasis in children is rising. Children who are white, female, and adolescent seem to have the highest risk for forming symptomatic kidney stones. Although the reasons for the … Leggi tutto
ORIGINAL PAPER – SUPPLEMENTARY MATERIALS to the ‘Dietary treatment of urinary risk factors for renal stone formation. A review of CLU Working Group.’ 0
Distal renal tubular acidosis (dRTA) is characterized by an impaired ability of the distal tubule to excrete acid, leading to metabolic acidosis. Associated complications include bone disease, growth failure, urolithiasis and hypokalaemia. Due to its rarity, there is limited evidence to guide diagnosis and management; however, available data strongly suggest that metabolic control of the … Leggi tutto
Purpose: The purpose of this guideline is to provide a clinical framework for the diagnosis, prevention and follow-up of adult patients with kidney stones based on the best available published literature. Conclusions: A variety of medications and dietary measures have been evaluated with greater or less rigor for their efficacy in reducing recurrence rates in … Leggi tutto
. This clinical practice recommendation provides guidance on all aspects of the management of both adults and children with cystinuria, including diagnosis, surgery, and medical treatment. 0
Una review a partire da un caso clinico A 43-year-old man presents for evaluation of recurrent kidney stones. He passed his first stone 9 years earlier and has had two additional symptomatic stones. Analysis of the first and the last stones showed that they contained 80% calcium oxalate and 20% calcium phosphate. Analysis of a … Leggi tutto
Il caso presentato sottolinea come un deficit di APRT non riconosciuto, non solo possa portare ad insufficienza renale terminale, ma esponga il paziente ad un rischio elevato di fallimento del trapianto renale; ciò è ancora più inaccettabile se si considera l’efficacia, la semplicità e l’economicità del trattamento. 0
Background and objectives: In medullary sponge kidney (MSK)—a common malformative renal condition in patients with calcium nephrolithiasis—hypercalciuria, incomplete distal renal tubular acidosis, and hypocitraturia are common. Clinical conditions with concomitant hypercalciuria and/or incomplete distal renal tubular acidosis are almost invariably associated with bone disease, making osteopathy highly likely in MSK, too. Patients with MSK have … Leggi tutto