Presentation
Their medical records were reviewed for clinical presentation and outcomes. Of the seven children, three were males. The median age of presentation was 4.9 years with the youngest presenting at 3 months of age. [indianjnephrol.org]
The most common presenting symptom was hematuria, while 14% of patients were asymptomatic and detected by family screening after the diagnosis of an index case. [pubmed.ncbi.nlm.nih.gov]
On the other hand, a missed diagnosis in early childhood or a milder clinical presentation that is misinterpreted as another clinical entity is observed in a small proportion of cases and patients frequently present with kidney failure as the first symptom [symptoma.com]
Immune System
- Splenomegaly
Stroke (cardioembolic) Enlarged spleen (splenomegaly [dovemed.com] Gastrointestinal Failure to Thrive […] to Thrive 11 Nephrocalcinosis 40 Urolithiasis 78 Hematuria 44 Abdominal Pain 60 Asymptomatic 10 Of the 454 patients in the registry as of July 2015 [symptoma.com]
Increased bone density Bone fractures; bone pain Anemia that is resistant to treatment Damage to cranial nerve and optic nerve Damage to the retina Inflammation of heart membrane (myocarditis) Irregular heartbeat Stroke (cardioembolic) Enlarged spleen (splenomegaly [dovemed.com]
Entire Body System
- Pain
Entire Body System Pain Symptoms of kidney or urinary tract stones include: Blood in the urine Pain when you pee Need to pee often Belly pain Many urinary tract infections Blocked urinary tract Sudden, serious back pain Chills Fever Babies and young children [symptoma.com]
Symptoms of kidney or urinary tract stones include: Blood in the urine Pain when you pee Need to pee often Belly pain Many urinary tract infections Blocked urinary tract Sudden, serious back pain Chills Fever Babies and young children with PH1 may also [webmd.com]
Kidney stones are often the first sign of hyperoxaluria, with symptoms including sudden back pain, persistent flank or abdominal pain, a frequent urge to urinate and blood or pain when urinating. [medthority.com]
Severe or sudden back pain Pain in your back or lower belly Blood in your urine (pee) Feeling like you need to pee more than usual Pain when urinating Chills or fever What causes it? A mutation (change) in the gene called AGXT. [kidneyfund.org]
Other symptoms of primary hyperoxaluria may include: severe or sudden back pain chills fever painful urination (dysuria) chronic pain below the ribs on the back hematuria (blood in urine) high levels of calcium in the kidneys (except with primary hyperoxaluria [healthline.com]
- Anemia
[uhbvid.uk] Anemia Erythropoietin-resistant anemia and hypothyroidism were thought to be due to accumulation of oxalate in the bone marrow and thyroid gland, respectively. [symptoma.com]
This can include bone disease, anemia, skin ulcers, heart and eye problems, and, in children, a failure to develop and grow normally. [ohf.org]
PMID: 15663648 Amelioration of anemia after kidney transplantation in severe secondary oxalosis. Bernhardt WM, Schefold JC, Weichert W, Rudolph B, Frei U, Groneberg DA, Schindler R. Bernhardt WM, et al. [pubmed.ncbi.nlm.nih.gov]
Biological check-up showed only a normochromic and normocytic regenerative anemia resistant to treatment and a bone marrow biopsy was performed. [bmcclinpathol.biomedcentral.com]
- Recurrent Urinary Tract Infection
Deposits in the urinary tract can lead to difficulty with urination, blood in the urine, and recurrent urinary tract infections. [myriadwomenshealth.com]
[jaad.org] Recurrent Urinary Tract Infection Deposits in the urinary tract can lead to difficulty with urination, blood in the urine, and recurrent urinary tract infections. [symptoma.com]
Case Summary: Physicians reported about a young man with no known family 9UTIhistory of kidney stones or dysfunction had a history of recurrent urinary tract infection (UTI) beginning at 3 years with subsequent development of daytime enuresis and voiding [medicaldialogues.in]
Other symptoms range from recurrent urinary tract infections, severe abdominal pain or pain in the side, blood in the urine, to chronic kidney disease and kidney failure.[2][3] The age of symptom onset, progression and severity can vary greatly from one [en.wikipedia.org]
- Enuresis
Case Summary: Physicians reported about a young man with no known family 9UTIhistory of kidney stones or dysfunction had a history of recurrent urinary tract infection (UTI) beginning at 3 years with subsequent development of daytime enuresis and voiding [medicaldialogues.in]
She had secondary polyuria but not enuresis and had no need for extra psychological support. [symptoma.com]
[…] urination 0100518 Failure to thrive Faltering weight Weight faltering [ more ] 0001508 Hematuria Blood in urine 0000790 5%-29% of people have these symptoms Abnormality of the skeletal system Skeletal abnormalities Skeletal anomalies [ more ] 0000924 Enuresis [rarediseases.info.nih.gov]
- Anorexia
He presented with fatigue, anorexia, weight loss, and was found to have cachexia, diffuse edema, hepatomegaly, ascites, hypercalcemia, hyperphosphatemia, hypoalbuminemia, low parathyroid hormone levels, lytic and resorptive areas in the vertebrae, diffusely [pubmed.ncbi.nlm.nih.gov]
Poor weight gain was reported by the parents, while there was no history of diarrhea, polyuria, polydipsia, pallor, dysuria, recurrent respiratory tract infections, or anorexia. He was born to third-degree consanguineous Tamil parents. [indianjnephrol.org]
[…] myocarditis), and cardioembolic stroke; narrowing of a blood vessel due to spasms of the vessel (vasospasm); joint disease (arthropathy); enlargement of the liver and/or spleen (hepatosplenomegaly [rarediseases.org] Hepatomegaly He presented with fatigue, anorexia [symptoma.com]
Gastrointestinal
- Failure to Thrive
[…] patients had [rarediseasesnetwork.org] Failure to thrive can be a presenting sign in infants. [symptoma.com]
Failure to thrive can be a presenting sign in infants. Most patients have glycolic aciduria and hyperoxaluria as the result of failure to transaminate glyoxylate to form glycine. [disorders.eyes.arizona.edu]
Five patients had symptoms due to renal insufficiency (failure to thrive) and one had urolithiasis. Three patients were found by family screening. [academic.oup.com]
This is called failure to thrive. Babies and young children with PH1 may also have high levels of calcium in their urine when it's tested at their doctor’s appointments. [webmd.com]
Symptoms can appear at any age and may vary from infantile failure to thrive and cortical nephrocalcinosis with renal failure to hematuria, medullary nephrocalcinosis or sporadic stone disease, even within one family. [orpha.net]
- Abdominal Pain
[dovemed.com] Babies and children with the disease may have kidney and urinary stones that can lead to more severe complications, such as repeated urinary tract infections and abdominal pain. [symptoma.com]
Sign In A 3-year-old boy presented with hematuria and abdominal pain. An abdominal radiograph showed stones in the kidneys, bladder, and left ureter. Mutational analysis confirmed primary hyperoxaluria type 1. Dapeng Jiang, M.D., Ph.D. [nejm.org]
Kidney stones are often the first sign of hyperoxaluria, with symptoms including sudden back pain, persistent flank or abdominal pain, a frequent urge to urinate and blood or pain when urinating. [medthority.com]
The most common side effects are injection site reactions and abdominal pain. [ema.europa.eu]
Symptoms of a kidney stone may include: Severe or sudden abdominal pain or pain in the side Blood in the urine Urinary tract infection Frequent urge to urinate Pain when urinating Fever and chills Some individuals are not diagnosed until after their kidneys [ohf.org]
- Nausea
[healthline.com] Nausea Its symptoms include: Making little or no urine Fatigue Feeling ill overall No appetite Nausea Vomiting Pale skin Swollen hands or feet Oxalate can also build up in other parts of your body, like your: Bones Eyes Heart Skin Blood [symptoma.com]
Symptoms of kidney failure may include: Decrease in urine amount or not being able to urinate at all Feeling generally ill or tired, or having heavy fatigue Loss of appetite, nausea, and vomiting Pale skin color related to anemia Oxalosis in its late [ohf.org]
Symptoms of oxalosis include: Blood in Urine Kidney Stones Nausea Vomiting Abdominal Pain Tetany Protein in Urine Urinary Tract Obstruction Kidney Fibrosis Haematuria In advanced stages, the accumulation of oxalate crystals in the bones and joints will [stlouischildrens.org]
Its symptoms include: Making little or no urine Fatigue Feeling ill overall No appetite Nausea Vomiting Pale skin Swollen hands or feet Oxalate can also build up in other parts of your body, like your: Bones Eyes Heart Skin Blood vessels Central nervous [webmd.com]
Symptoms of kidney failure can include decreased or no urine output; feeling ill or tired; loss of appetite; nausea and vomiting; and pale skin due to anemia. [checkorphan.org]
- Loss of Appetite
In cases that have progressed to renal failure, symptoms include low urine output, fatigue, loss of appetite and anaemia. [medthority.com]
Symptoms of kidney failure may include: Decrease in urine amount or not being able to urinate at all Feeling generally ill or tired, or having heavy fatigue Loss of appetite, nausea, and vomiting Pale skin color related to anemia Oxalosis in its late [ohf.org]
[ncbi.nlm.nih.gov] Symptoms of kidney failure can include decreased or no urine output; feeling ill or tired; loss of appetite; nausea and vomiting; and pale skin due to anemia. [symptoma.com]
Symptoms of kidney failure can include decreased or no urine output; feeling ill or tired; loss of appetite; nausea and vomiting; and pale skin due to anemia. [checkorphan.org]
Signs and symptoms of kidney failure include: Decreased urine output or no urine output at all Feeling generally ill and tired Loss of appetite, nausea and vomiting Pale skin color related to anemia Swelling of hands and feet Oxalosis in its late stages [mayoclinic.org]
- Diarrhea
[ncbi.nlm.nih.gov] This is particularly helpful in patients with significant diarrhea or hypocitraturia. If the diarrhea can be controlled, the potassium citrate dosage may need to be modified. [symptoma.com]
Abstract A 5-month-old female infant who had chronic diarrhea and acute renal failure was referred to Chulalongkorn Hospital for further investigation and management. [pubmed.ncbi.nlm.nih.gov]
Poor weight gain was reported by the parents, while there was no history of diarrhea, polyuria, polydipsia, pallor, dysuria, recurrent respiratory tract infections, or anorexia. He was born to third-degree consanguineous Tamil parents. [indianjnephrol.org]
We also informed her about the necessity of intravenous fluid treatment in case of fever, vomiting, or diarrhea. Her 18-year follow-up data are shown in Table 1. [thepermanentejournal.org]
Liver, Gall & Pancreas
- Hepatosplenomegaly
[circ.ahajournals.org] Liver, Gall & Pancreas Hepatosplenomegaly He had painless hepatosplenomegaly. Both knees were swollen and the right shoulder was visibly swollen. [symptoma.com]
He had painless hepatosplenomegaly. Both knees were swollen and the right shoulder was visibly swollen. [revistanefrologia.com]
GAUCHER's DISEASE Type 1 Gaucher's disease, the most common lysosomal storage disorder, typically presents with hepatosplenomegaly, pancytopenia, and destructive bone disease. [aafp.org]
It is characterized by cytopenias, leukoerythroblastosis, and hepatosplenomegaly [1] as well as BM findings of calcium oxalate crystals that are birefringent under polarized microscopy and granulomatous structures [2]. [synapse.koreamed.org]
- Hepatomegaly
[dovemed.com] GSD is classified according to the type of genetically defective enzymes and induces hepatomegaly, hypoglycemia and/or muscular symptoms. [symptoma.com]
He presented with fatigue, anorexia, weight loss, and was found to have cachexia, diffuse edema, hepatomegaly, ascites, hypercalcemia, hyperphosphatemia, hypoalbuminemia, low parathyroid hormone levels, lytic and resorptive areas in the vertebrae, diffusely [pubmed.ncbi.nlm.nih.gov]
bone pain Anemia that is resistant to treatment Damage to cranial nerve and optic nerve Damage to the retina Inflammation of heart membrane (myocarditis) Irregular heartbeat Stroke (cardioembolic) Enlarged spleen (splenomegaly) and enlarged liver (hepatomegaly [dovemed.com]
GSD is classified according to the type of genetically defective enzymes and induces hepatomegaly, hypoglycemia and/or muscular symptoms. GSD, especially types I (ORPHA364) and III (ORPHA366), can be complicated by diabetes in the later stage [24]. [ojrd.biomedcentral.com]
Cardiovascular
- Hypertension
Lorenz MD, Department of Nephrology and Hypertension, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA Search for more papers by this authorDawn S. [onlinelibrary.wiley.com]
[revistanefrologia.com] Cardiovascular Hypertension […] and Hypertension, Department of Biochemistry and Molecular Biology, and [email protected] [ncbi.nlm.nih.gov] Mayo Clinic Department of Nephrology and Hypertension Additional Information: Publications [symptoma.com]
Food & Drug Administration (FDA) for the treatment of pulmonary arterial hypertension (PAH). [bio-medicine.org]
Patient's demographics and biochemical results Characteristics Sex Male Age (year) 51 BMI (kg/m2) 42 Renal function Normal Diabetes mellitus Yes Hypertension No Hyperlipidemia No Chronic obstructive pulmonary disease No Smoker Yes Biochemical results [academic.oup.com]
The right ventricular pressure curve shows severe pulmonary hypertension. LVP indicates left ventricular pressure; RVP, right ventricular pressure. Download figure Download PowerPoint Figure 3. Endomyocardial biopsy. [ahajournals.org]
- Heart Block
[cags.org.ae] Heart Block One developed complete heart block, a novel finding, as a result of severe cardiac oxalosis. [symptoma.com]
One developed complete heart block, a novel finding, as a result of severe cardiac oxalosis. [medcraveonline.com]
Insoluble calcium deposits in other body tissues can lead to bone pain; vision loss; tingling, numbness, or pain in the extremities; enlargement of the liver and spleen; and problems with the electrical system of the heart (heart block). [myriadwomenshealth.com]
This can lead to bone pain; vision loss; tingling, numbness, or pain in the extremities; enlargement of the liver and spleen; and problems with the electrical system of the heart (heart block). [nxgenmdx.com]
block, in which your heart beats too slowly Inflammation of your heart tissue Stroke Narrowed blood vessels Joint pain Swollen liver or spleen Purple spots on the skin Skin rashes Gangrene (death of body tissue) on your hands or feet [webmd.com]
- Heart Failure
Review Heart failure with mitral valve regurgitation due to primary hyperoxaluria type 1: case report with review of the literature Luc Van Driessche et al. Acta Cardiol. 2007 Apr. [pubmed.ncbi.nlm.nih.gov]
Oxalosis involving the myocardium or conduction system can potentially lead to heart failure and fatal arrhythmias. [mayoclinic.pure.elsevier.com]
[stlouischildrens.org] ulcers, heart and eye problems, and in children, a failure to develop and grow normally. [symptoma.com]
Consequently, the build-up of oxalate can lead to the deposition of oxalate crystals in the eyes, bones, skin, heart, and central nervous system, causing diminished vision, bone fractures, ulcers, heart failure, and other complications. [raredisorders.imedpub.com]
Skin
- Calcinosis Cutis
[mayoclinic.org] Calcinosis Cutis cutis metastatica, gangrene), bone (pain, joint immobility, anemia, fractures) and central nervous system (Curr Rheumatol Rep 2013;15:340, N Eng J Med 2013;369) Essential features Birefringent oxalate crystals are noted [symptoma.com]
cutis metastatica, gangrene), bone (pain, joint immobility, anemia, fractures) and central nervous system (Curr Rheumatol Rep 2013;15:340, N Eng J Med 2013;369) Essential features Birefringent oxalate crystals are noted in vessel walls and connective [pathologyoutlines.com]
cutis 0025520 Calcium oxalate nephrolithiasis 0008672 Choroidal neovascularization 0011506 Cutis marmorata 0000965 Gangrene Death of body tissue due to lack of blood flow or infection 0100758 Increased bone mineral density Increased bone density 0011001 [rarediseases.info.nih.gov]
- Skin Ulcer
[…] and other symptoms) Skin ulcers or [dicerna.com] This can include bone disease, anemia, skin ulcers, heart and eye problems, and, in children, a failure to develop and grow normally. [symptoma.com]
This can include bone disease, anemia, skin ulcers, heart and eye problems, and, in children, a failure to develop and grow normally. [ohf.org]
It may also cause anemia and skin ulcers. [stlouischildrens.org]
Systemic oxalosis involves a build-up of oxalate in other regions of the body causing a variety of complications including: Bone disease leading to fractures Anemia (lack of red blood cells causing tiredness, weakness and other symptoms) Skin ulcers or [dicerna.com]
Musculoskeletal
- Bone Pain
[bmcclinpathol.biomedcentral.com] Oxalosis may cause serious symptoms like: Bone pain Broken bones Abnormally hard, dense bones Dental problems like tooth pain or loose teeth, and exposure of the tooth roots and pulp Anemia that’s hard to treat Damage [symptoma.com]
He presented bone pain with worsening of his general state. On physical examination, no organomegaly was detected. [bmcclinpathol.biomedcentral.com]
Insoluble calcium deposits in other body tissues can lead to bone pain; vision loss; tingling, numbness, or pain in the extremities; enlargement of the liver and spleen; and problems with the electrical system of the heart (heart block). [myriadwomenshealth.com]
This can lead to bone pain; vision loss; tingling, numbness, or pain in the extremities; enlargement of the liver and spleen; and problems with the electrical system of the heart (heart block). [nxgenmdx.com]
Oxalosis may cause serious symptoms like: Bone pain Broken bones Abnormally hard, dense bones Dental problems like tooth pain or loose teeth, and exposure of the tooth roots and pulp Anemia that’s hard to treat Damage to a nerve that affects eyesight, [webmd.com]
- Arthralgia
Associated symptoms included arthralgias and episodic acral cyanosis. [jaad.org]
When oxalate deposits in the synovium of joints, excessive inflammation can procure, often resembling arthralgias (joint pain). [physio-pedia.com]
- Recurrent Fractures
MedlinePlus Genetics : 43 Primary hyperoxaluria is a rare condition characterized by recurrent kidney and bladder stones. [malacards.org]
- Myalgia
[jaad.org] Myalgia In addition, oxalate eventually deposits in the heart, the joints, the retina, and the central nervous system, causing complications in the form of cardiomyopathy, disturbances in the cardiac conduction system, retinopathy, severe myalgia [symptoma.com]
Urogenital
- Kidney Failure
But as many as half of adults with PH1 get kidney disease or kidney failure. Complications of PH1 People with primary PH1 can have serious complications if they don't get treated. As their disease gets worse, they can get kidney failure. [webmd.com]
Progressive kidney damage leading to kidney failure may develop. [symptoma.com]
This leads to stone formation and kidney failure with significant morbidity and mortality. [io.nihr.ac.uk]
Excess oxalate leads to a buildup of insoluble calcium salts in the kidneys and other organs, resulting in progressive organ damage. Accumulation of calcium oxalate in the kidneys may cause kidney stones and progressive kidney failure. [myriadwomenshealth.com]
[citation needed] Kidney failure is a serious complication requiring treatment in its own right. Dialysis can control kidney failure but tends to be inadequate to dispose of excess oxalate. [en.wikipedia.org]
- Hematuria
The most common presenting symptom was hematuria, while 14% of patients were asymptomatic and detected by family screening after the diagnosis of an index case. [pubmed.ncbi.nlm.nih.gov]
[nejm.org] Other manifestations include urinary tract infections, dysuria and hematuria. [orpha.net] Dysuria Other manifestations include urinary tract infections, dysuria and hematuria. [symptoma.com]
Initially, all patients presented with UL, which was accompanied by microscopic hematuria (83%) or / and sterile leukocyturia (67%). [mp.pl]
Sign In A 3-year-old boy presented with hematuria and abdominal pain. An abdominal radiograph showed stones in the kidneys, bladder, and left ureter. Mutational analysis confirmed primary hyperoxaluria type 1. Dapeng Jiang, M.D., Ph.D. [nejm.org]
Deposits of calcium oxalate can damage the kidneys and other organs and lead to blood in the urine (hematuria), urinary tract infections, kidney damage, ESRD, and injury to other organs. [encyclopedia.pub]
- Dysuria
[nejm.org] Other manifestations include urinary tract infections, dysuria and hematuria. [orpha.net] Dysuria Other manifestations include urinary tract infections, dysuria and hematuria. [symptoma.com]
She presented for follow-up 1 month later with persistent flank pain, dysuria, subjective fever and chills, and decreased urine output. [karger.com]
Other symptoms of primary hyperoxaluria may include: severe or sudden back pain chills fever painful urination (dysuria) chronic pain below the ribs on the back hematuria (blood in urine) high levels of calcium in the kidneys (except with primary hyperoxaluria [healthline.com]
- Flank Pain
She presented for follow-up 1 month later with persistent flank pain, dysuria, subjective fever and chills, and decreased urine output. [karger.com]
[karger.com] Flank Pain She presented for follow-up 1 month later with persistent flank pain, dysuria, subjective fever and chills, and decreased urine output. [symptoma.com]
Adults with recurrent kidney stones also should be evaluated for oxalate in the urine.Symptoms of a kidney stone can include the following:Severe or sudden abdominal or flank pain,Blood in the urine,Frequent urge to urinate,Pain when urinating,Fever and [omicsonline.org]
When a person with PH1 has a kidney stone, symptoms can include: • Flank pain • Urinary tract infections • Painful urination • Blood in the urine People with PH1 often experience the formation of oxalate stones throughout the urinary tract and kidneys [ohf.org]
- Anuria
In our case serum oxalate was very high and the urinary sediment could not be performed given the anuria. [symptoma.com]
Despite supportive therapies and correction of fluid and electrolyte abnormalities, the patient gradually became oliguric progressing to anuria, and was placed on peritoneal dialysis. Keywords Kidney Nephropathy Crystal Calcium Oxalate 1. [sites.kowsarpub.com]
要約・抄録 A 3-month-old female infant was admitted to our hospital because of convulsions and anuria. [iss.ndl.go.jp]
He suffered from shortness of breath and anuria. While his growth was appropriate for his age, he was found to be pale, irritable, hypertensive and edematous. [cags.org.ae]
Neurologic
- Stroke
stroke in patients with primary oxalosis. [pubmed.ncbi.nlm.nih.gov]
[…] a nerve that affects eyesight, called optic atrophy Retinopathy, a disease of your eye’s retina Peripheral neuropathy, a painful nerve condition Irregular heartbeat Heart block, in which your heart beats too slowly Inflammation of your heart tissue Stroke [webmd.com]
The following are some of the complications of Primary Hyperoxaluria: Chronic kidney disease End-stage kidney disease Cardiac arrhythmia and stroke Peripheral gangrene Note: The end-stage kidney disease can occur early in type 1 disease, and later in [dovemed.com]
In the same year he had a thalamic stroke and right perimesencephalic haemorrhage. [revistanefrologia.com]
- Peripheral Neuropathy
Case of the Month, Corresponding Author Peripheral Neuropathy Laboratory, Department of Neurology, Mayo Clinic and Mayo Foundation, 200 First Street SW, Rochester, Minnesota, 55905 USA Correspondence to: S. [onlinelibrary.wiley.com]
1 disease, and later in [dovemed.com] Peripheral Neuropathy Case of the Month First published: 31 October 2014 Citations: 6 Disclosure:: P.J.D. receives financial support directed to research activity in the Peripheral Neuropathy Laboratory at the Mayo [symptoma.com]
neuropathy, a painful nerve condition Irregular heartbeat Heart block, in which your heart beats too slowly Inflammation of your heart tissue Stroke Narrowed blood vessels Joint pain Swollen liver or spleen Purple spots on the skin Skin rashes Gangrene [webmd.com]
Primary hyperoxaluria in an adult with renal failure, livedo reticularis, retinopathy, and peripheral neuropathy. Am J Kidney Dis. 1997; 29: 947-952 Greer K.E. Cooper P.H. Campbell F. Westervelt Jr, F.B. Primary oxalosis with livedo reticularis. [jaad.org]
Keywords: crystalline neuropathy; nerve pathology; peripheral neuropathy; primary hyperoxaluria type 1; renal failure. © 2014 Wiley Periodicals, Inc. [pubmed.ncbi.nlm.nih.gov]
- Lethargy
Affected dogs reportedly present with general signs of kidney failure at around 3 to 4 weeks of age that can include, lack of appetite, vomiting, lethargy, abdominal pain, decreased urine production, and blood in the urine. [pawprintgenetics.com]
Clinical manifestations of galactosemia include lethargy, hypotonia, jaundice, hypoglycemia, elevated liver enzymes, and coagulopathy. [aafp.org]
Workup
Workup for traditional causes of cerebrovascular infarction including cardiac telemetry, multiple echocardiograms, and hypercoagulative workup was negative. However, a transcranial Doppler detected circulating microemboli at the rate of 14 per hour. [pubmed.ncbi.nlm.nih.gov]
Review of nephrectomy and transplant kidney biopsy showed abundant calcium oxalate crystals and further workup revealed hyperoxaluria, which was previously unsuspected. [jpgmonline.com]
While a healthcare professional will typically use a urine test to measure the urine oxalate excretion level in a diagnostic workup of individuals suspected of primary hyperoxaluria, genetic testing can help confirm a diagnosis of PH1. [invitae.com]
A diagnostic workup in an individual with hyperoxaluria demonstrates increased concentration of oxalate in urinary metabolite screening. If glycolate, glycerate, or HOG is present, a primary hyperoxaluria is indicated. [mayocliniclabs.com]
X-Ray
- Nephrolithiasis
Purpose: Genetic causes of nephrolithiasis are underestimated. [pubmed.ncbi.nlm.nih.gov]
In our patient, earlier diagnosis and treatment – particularly before the development of severe and extensive nephrolithiasis – may have prevented the development of severe nephrolithiasis, her accelerated loss of kidney function, and the need for native [karger.com]
The sibling of one of the children in ESRD, with a history of consanguinity in parents, was screened for asymptomatic nephrolithiasis. [indianjnephrol.org]
In the present case, kidney grafting was performed; however, it partially failed due to recurrent nephrolithiasis. [spandidos-publications.com]
Ultrasound
- Enlargement of the Liver
[…] spleen (splenomegaly) and enlarged liver (hepatomegaly [dovemed.com] GSD is classified according to the type of genetically defective enzymes and induces hepatomegaly, hypoglycemia and/or muscular symptoms. [symptoma.com]
Insoluble calcium deposits in other body tissues can lead to bone pain; vision loss; tingling, numbness, or pain in the extremities; enlargement of the liver and spleen; and problems with the electrical system of the heart (heart block). [myriadwomenshealth.com]
This can lead to bone pain; vision loss; tingling, numbness, or pain in the extremities; enlargement of the liver and spleen; and problems with the electrical system of the heart (heart block). [nxgenmdx.com]
Dialysis or kidney and liver transplants If primary hyperoxaluria develops into advanced kidney disease or end stage renal disease, you may need more aggressive treatment, which may include: dialysis kidney transplant liver transplant combined liver-kidney [healthline.com]
Serum
- Glomerular Filtration Rate Decreased
Although serum oxalate levels have not been measured, they would certainly be high, since oxalate content increases as glomerular filtration rate decreases. [jped.com.br]
Treatment
Cochat et al8 have emphasized that early initiation of an aggressive conservative treatment contributes to maintaining renal function in treatment-adherent individuals. [thepermanentejournal.org]
Early treatment is important for maintaining kidney function. Each person's treatment plan depends on his/her symptoms and the severity of the condition. [rareguru.com]
Primary Hyperoxaluria Treatment Market The goal of treatment in PH is to lower the level of oxalate in the body and prevent calcium oxalate crystals from forming in the kidneys and other body tissues. [tramways-monthly.com]
Primary hyperoxaluria treatment The primary aim of primary hyperoxaluria Type 1 treatment is to clear oxalate and slow down kidney function decline. PH1 treatment options therefore include hyperhydration and intensive dialysis1,5. [medthority.com]
Treatment The goal of treatment for primary hyperoxaluria type 1 (PH1) is to minimize calcium oxalate deposition and maintain renal function. [checkorphan.org]
Prognosis
In individuals with PH1, the prognosis is less predictable due to the variability in symptoms and age of onset and the prognosis can often be poor, particularly for those individuals who have symptoms at earlier ages. [nxgenmdx.com]
Prognosis Severe infantile oxalosis has a poor prognosis quoad vitam. [orpha.net]
What Is the Prognosis for an Individual with Primary Hyperoxaluria Type 1? The prognosis for an individual with PH1 is variable and depends on how early the disease is detected and treated. [myriadwomenshealth.com]
A proposed clinical grading system of oxalate maculopathy, based on a literature review, may provide clinicians with a tool to better predict visual function and prognosis. [pubmed.ncbi.nlm.nih.gov]
Etiology
Etiology 3.6. Pathophysiology 3.7. Diagnosis 3.8. Management 4. Epidemiology and Patient Population 4.1. Key Findings 4.2. Forecast Methodology 5. 7MM Total Diagnosed Prevalent Patient Population of Primary Hyperoxaluria 6. [gii.co.jp]
Molecular etiology of primary hyperoxaluria type 1: New directions for treatment. Am J Nephrol 2005;25:303-10. [PUBMED] [FULLTEXT] 2. Lieske JC, Monico CG, Holmes WS, Bergstralh EJ, Slezak JM, Rohlinger AL, et al. [indianjurol.com]
Etiology PH type 1 is caused by mutations of the AGXT gene causing dysfunction of the liver-specific peroxisomal enzyme alanine glyoxylate aminotransferase (AGT). [orpha.net]
In the absence of any proximal vessel irregularities, atherosclerosis, valvular abnormalities, arrhythmias, or systemic shunt as potential stroke etiology in this patient, we propose that circulating oxalate precipitate may be a potential mechanism for [pubmed.ncbi.nlm.nih.gov]
Epidemiology
Get FREE sample copy at: https://www.delveinsight.com/sample-request/primary-hyperoxaluria-epidemiology-forecast Primary Hyperoxaluria Epidemiology Forecast DelveInsight’s ‘Primary Hyperoxaluria Epidemiology Forecast to 2030‘ report delivers an in-depth [primefeed.in]
Primary Hyperoxaluria (PH) Epidemiology The Primary Hyperoxaluria (PH) epidemiology division provide the insights about historical and current patient pool and forecasted trend for every 7 major countries. [gii.co.jp]
Insights Executive Summary of Primary Hyperoxaluria Competitive Intelligence Analysis for Primary Hyperoxaluria Primary Hyperoxaluria: Market Overview at a Glance Primary Hyperoxaluria: Disease Background and Overview Patient Journey Primary Hyperoxaluria Epidemiology [tramways-monthly.com]
In this article Classification Epidemiology Presentation Investigations Management Prognosis Hyperoxaluria In this article Classification Epidemiology Presentation Investigations Management Prognosis Synonym: oxalosis, oxaluria See also the separate article [patient.info]
ERA-EDTA also produces guidelines, collects data, and performs epidemiological studies through its Registry. The Society supports fellowships and educational/research projects through its committees and working groups. [eurekalert.org]
Pathophysiology
The Primary Hyperoxaluria report provides a detailed overview explaining Primary Hyperoxaluria causes, symptoms, classification, pathophysiology, diagnosis and treatment patterns. [primefeed.in]
Pathophysiology 3.7. Diagnosis 3.8. Management 4. Epidemiology and Patient Population 4.1. Key Findings 4.2. Forecast Methodology 5. 7MM Total Diagnosed Prevalent Patient Population of Primary Hyperoxaluria 6. [gii.co.jp]
Together, we believe these underscore the potential of lumasiran to address the underlying pathophysiology of PH1 and the urgent need for an FDA-approved treatment for this progressive, devastating disease where liver transplantation is currently the [biospace.com]
Pathophysiology[edit] The buildup of oxalate in the body causes increased renal excretion of oxalate (hyperoxaluria), which in turn results in kidney and bladder stones. [en.wikipedia.org]
Prevention
The goal of treatment is to lower the level of oxalate in your body and prevent it from building up in your kidneys. [kidneyfund.org]
How Prevention Plans Work Under the direction of Roger Sur, MD, a leader in the field of innovative kidney stone evaluation and prevention, we can create a successful prevention plan in almost 90 percent of our patients. [health.ucsd.edu]
General therapies for preventing kidney stones benefit all people with PH1. [checkorphan.org]
It has shown promising results and may become a viable therapeutic option, preventing the need for organ transplantation and complications of systemic oxalosis. [renalfellow.org]
By reducing oxalate production, lumasiran has the potential to prevent the actual disease process that develops in PH1. [io.nihr.ac.uk]