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Urolithiasis in Patients with End Stage Renal Failure

1992; Lippincott Williams & Wilkins; Volume: 147; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(17)37438-4

1527-3792

Michel Daudon, Bernard Lacour, Paul Jungers, Tilman B. Drüeke, R. J. Réveillaud, Alain Chevalier, Cyrille Bader,

Therapeutic Uses of Natural Elements

No AccessJournal of Urology1 Apr 1992Urolithiasis in Patients with End Stage Renal Failure Michel Daudon, Bernard Lacour, Paul Jungers, Tilman Drüeke, René-Jean Reveillaud, Alain Chevalier, and Cyrille A. Bader Michel DaudonMichel Daudon , Bernard LacourBernard Lacour , Paul JungersPaul Jungers , Tilman DrüekeTilman Drüeke , René-Jean ReveillaudRené-Jean Reveillaud , Alain ChevalierAlain Chevalier , and Cyrille A. BaderCyrille A. Bader View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)37438-4AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Renal stones from 30 chronic hemodialysis patients were subjected to morphological study by means of microscopic examination and to constitutional analysis with infrared spectrophotometry. In 29 patients calculi could be classified into 3 main types: 1) protein stones made of pure proteins or with a protein core and less than 30% calcium oxalate (9 cases, or 30%)—they were observed predominantly in patients with primary glomerular disease, 2) oxalo-protein stones with a core of calcium oxalate and a total stone content of more than 30% calcium oxalate (15 cases, or 50%)— they appeared to be related to metabolic factors, such as high urinary oxalate and low urinary citrate concentration, and to iatrogenic factors, namely vitamin D3 and calcium salt supplementation, and 3) aluminum-magnesium urate stones, probably induced by aluminum overload (6 cases, or 20%). Thus, our study indicates that a significant proportion (70%) of stones formed by hemodialysis patients may be due to metabolic and iatrogenic factors. Our data suggest that accurate analysis of such stones provides useful information on pathogenetic factors and consequently may give clues to their prophylaxis. © 1992 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byGupta M, Bolton D, Gupta P and Stoller M (2018) Improved Renal Function Following Aggressive Treatment of Urolithiasis and Concurrent Mild to Moderate Renal InsufficiencyJournal of Urology, VOL. 152, NO. 4, (1086-1090), Online publication date: 1-Oct-1994. Volume 147Issue 4April 1992Page: 977-980 Advertisement Copyright & Permissions© 1992 by The American Urological Association Education and Research, Inc.Keywordskidney failure, chronicurinary calculihemodialysisMetricsAuthor Information Michel Daudon More articles by this author Bernard Lacour More articles by this author Paul Jungers More articles by this author Tilman Drüeke More articles by this author René-Jean Reveillaud More articles by this author Alain Chevalier More articles by this author Cyrille A. Bader More articles by this author Expand All Advertisement PDF downloadLoading ...