2008
DOI: 10.1016/j.juro.2008.01.151
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Urinary Metabolic Evaluations in Solitary and Recurrent Stone Forming Children

Abstract: There are significant differences in 24-hour urinary calcium levels between solitary and recurrent calcium stone forming children. A patient with increased urinary calcium indices on a 24-hour specimen may benefit from more aggressive initial dietary and pharmacological treatment to prevent stone recurrence.

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Cited by 43 publications
(33 citation statements)
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“…Studies also show that children have higher urinary SS CaP than adults (32) and that stoneforming children have higher SS CaOx than non-stoneforming children (39,40). In addition, recurrent pediatric SFs have higher calcium excretion when adjusted for creatinine excretion or body weight than solitary pediatric SFs, but this did not translate into significantly different SSs (40,41).…”
Section: Promoters Of Stone Formationmentioning
confidence: 99%
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“…Studies also show that children have higher urinary SS CaP than adults (32) and that stoneforming children have higher SS CaOx than non-stoneforming children (39,40). In addition, recurrent pediatric SFs have higher calcium excretion when adjusted for creatinine excretion or body weight than solitary pediatric SFs, but this did not translate into significantly different SSs (40,41).…”
Section: Promoters Of Stone Formationmentioning
confidence: 99%
“…Urinary citrate levels are highest in young children and decrease into adulthood (32,33), but relative hypocitraturia is a common finding in pediatric nephrolithiasis (22,23,28,39,40,51,52). Hypocitraturia has also been shown to be a risk factor for recurrent stone disease in children (37,41). Treatment with oral citrate supplementation has been shown to reduce stone risk (53,54).…”
Section: Inhibitors Of Stone Formationmentioning
confidence: 99%
“…A osteoponina, a nefrocalcina e o citrato bloqueiam a adesão de cristais de oxalato de cálcio às células. Os níveis de citrato urinário se encontram muito reduzidos em pacientes com urolitíase, especialmente em casos recorrentes (DEFOOR et al, 2008).…”
Section: Inibidores Da Urolitíaseunclassified
“…Um dos principais fatores de predisposição à urolitíase por estruvita é a infecção urinária por bactérias produtoras de urease (NATH et al, 1984;RAILA et al, 2003;GATORIA et al, 2006;DEFOOR et al, 2008;KOEHLER et al, 2008;ULRICH et al, 2008;SYME, 2012;BECKNELL et al, 2013). Havendo esse tipo de infecção bacteriana, associada à presença de magnésio e fosfato urinários (naturais na urina canina), as chances de ocorrência de cálculos de estruvita são muito aumentadas.…”
Section: Fatores Envolvidos No Desenvolvimento De Urólitos Específicosunclassified
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