Presentation
May rarely present with features of acute kidney injury or chronic kidney disease. [patient.info]
He is Executive Advisory Editor of Bone Research (2013-present). [books.google.com]
Under pathological examination, kidneys may either be normal or present an interstitial nephritis with nephrocalcinosis. [healio.com]
The latter indicates reduced tubular reabsorption of calcium and is present in hypoparathyroidism and metabolic acidosis; it does not contribute directly to calcium stone disease. [indiana.pure.elsevier.com]
Entire Body System
- Chills
Patients with obstructing struvite calculi (i.e., stones associated with urinary infection) may present with fevers, chills, and flank pain. These patients are at risk of progressing to sepsis or death. [aafp.org]
Workup
Serum
- Calcium Decreased
[…] hypercalciuria phosphate leak leads to decreased renal resorption of calcium decreased renal resorption of calcium is primary defect Sensitivity and Specificity Renal hypercalciuria is defined by fasting (ie sample 2) calcium/creatinine ratio > 0.36 [pathology.leedsth.nhs.uk]
The disease-oriented changes in urine characteristics were predictable: urinary calcium decreased in both groups, but oxalate secretion increased in the low-calcium group, causing greater calcium oxalate saturation. [mdedge.com]
A 13 – 15 Supported by prospective trials and large population studies Potassium citrate (Urocit-K) should be administered to decrease the risk of developing calcium oxalate stones. [aafp.org]
Treatment
If diagnosed promptly and appropriate treatment is provided, then the outlook is good If the individual responds to various treatment measures, the prognosis is generally better, compared to those who do not respond favorably to treatment Additional and [dovemed.com]
Several pharmacological treatments have been described that can decrease the levels of urinary calcium or its index of urinary crystallization. [cochrane.org]
They were randomly allocated to treatment group or control group. The mean age of the patients in the treatment group was 8.02 ± 1.67 years, and in control group was 8.47 ± 1.64 years ( P = 0.20). [sjkdt.org]
A variety of genes participating in the mechanisms of Ca homeostasis, have attracted the interest of researchers in order to elucidate the pathogenetic mechanism of the disease and thus determining the appropriate treatment for any distinct patient. [eurekaselect.com]
Early treatment of reversible causes of renal failure, such as treatment of urinary infections, calculous obstruction and hypertension, is essential. Once renal failure is established, it must be treated accordingly. [patient.info]
Prognosis
What is the Prognosis of Idiopathic Hypercalciuria? (Outcomes/Resolutions) The prognosis of Idiopathic Hypercalciuria depends on the severity of the condition. [dovemed.com]
Prognosis The prognosis depends mainly on the aetiology of the nephrocalcinosis. [patient.info]
Etiology
Treatment options for hypercalciuria depend on the etiology. B ecause most cases are idiopathic, initial therapy involves aggressive hydration. [johnsarm.net]
Crystallographic analysis of retrieved calculus remnants can help identify the underlying etiology and may obviate a complete metabolic evaluation. [aafp.org]
Renal Hypercalciuria Sometimes called "renal calcium leak," these patients have an increased excretion of calcium without an inciting etiology. [bradyurology.blogspot.com]
The macular atypical coloboma etiopathogenesis is discussed, commenting on the malformative, dystrophic and inflammatory hypothesis, having discarded the usual inflammatory etiologies. We have only found two cases similar to these in the literature. [healio.com]
Epidemiology
/genetics — Kidney Calculi/*epidemiology — Male — Middle Aged — Multivariate Analysis — Odds Ratio — Prevalence — Probability — Prospective Studies — Risk Factors — Sex Distribution — Statistics, Nonparametric Identifiers DOI: 10.1016/S0002-9343(02)01152 [archive-ouverte.unige.ch]
Google Scholar Willett WC: Nutritional epidemiology. Modern epidemiology. Edited by: Rothman KJ, Greenland S. 1998, Philadelphia; Lippincott-Raven Publishers, 623-642. [nutritionj.biomedcentral.com]
Epidemiology Microscopic nephrocalcinosis is a common incidental finding at post-mortem but macroscopic nephrocalcinosis is uncommon. [patient.info]
Iran 2 Department of Students Research Committee, School of Medicine, Arak University of Medical Sciences, Arak, IR Iran 3 Department of Surgery, School of Medicine, Arak University of Medical Sciences, Arak, IR Iran 4 Department of Biostatistics and Epidemiology [numonthly.com]
Schneider HJ: Epidemiology of urolithiasis; in Schneider HJ (ed): Urolithiasis. Berlin, Springer, 1985, pp 137–184. Article / Publication Details First-Page Preview [karger.com]
Pathophysiology
Click on "pathophysiology" on the main menu to begin. When you finish that section, return to the menu page and click on "osteopenia". Be sure to try all the nephron segments to see the movies! [courses.washington.edu]
Furthermore, studies on the pathophysiology of IH distinguish two prominent types of IH: the absorptive, characterized by increased intestinal Ca absorption, and the renal, characterized by decreased tubular Ca reabsorption. [eurekaselect.com]
Support for the role of bone in the pathophysiology of hypercalciuria has been corroborated. [journals.lww.com]
Brenner/Rector remains the go-to resource for practicing and training nephrologists and internists who wish to master basic science, pathophysiology, and clinical best practices. [books.google.com]
[…] fasting Ca/creatinine ratio < 0.23 < 0.23 > 0.36 > 0.36 urine Ca/creatinine ratio (1g load) > 0.77 > 0.77 > 0.77 > 0.77 24h urine calcium (restricted 400mg diet) > 5 mmol N ie < 5 mmol > 5 mmol > 5 mmol Pathophysiology hyperabsorption of calcium diet-responsive [pathology.leedsth.nhs.uk]
Prevention
[…] the main cause (or causes) of Idiopathic Hypercalciuria is unknown, the preventative measures are generally relate to leading a healthy lifestyle. [dovemed.com]
The traditionally recommended low-calcium diet does not appear to prevent further renal stones. [mdedge.com]
Objectives: To assess the benefits and harms of pharmacological interventions for preventing complications and decreasing urological symptoms in patients with idiopathic hypercalciuria. [cochrane.org]
Generally, the main goal of treatment applied on hypercalciuric children should be to alleviate and finally eliminate the symptoms of the disease, to prevent renal stone formation or recurrence and to permit the acquisition of the optimal bone mass. [eurekaselect.com]
Stone Recurrence: Prevention and Treatment After the initial stone episode has resolved, patients should be counseled about prevention of recurrences. [aafp.org]