| Autor: |
Kanchana, Tangnararatchakit, Watcharin, Ariyaprakai, Wiwat, Tapaneya-Olarn, Vorasuk, Shotelersuk, Thanom, Petchthong |
| Rok vydání: |
2003 |
| Předmět: |
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| Zdroj: |
Journal of the Medical Association of Thailand = Chotmaihet thangphaet. 85 |
| ISSN: |
0125-2208 |
| Popis: |
This paper presents the case report of a 4-year and 6-month old girl with cystinuria. She clinically presented with recurrent radiopaque renal stones since the age of 3 years. She received 2 subsequent operations of pyelolithotomy combined with ureterolithotomy at the age of 3 years 6 months, and pyelolithotomy alone at the age of 5 years. She was initially diagnosed as having cystinuria by the presence of hexagonal plate crystals in her acidified urine and positive for the urinary cyanide-nitroprusside test. The diagnosis was confirmed by urinary amino acid analysis using quantitative ion-exchange chromatography which revealed increased amounts of cystine and dibasic amino acids of lysine and ornithine. In spite of maintaining a high fluid intake and alkalinizing urine by giving potassium citrate after the first operation, recurrent renal stones were found. Therefore, after the second operation, D-penicillamine was additionally introduced. During the 18-month follow-up, although there were recurrent renal stones, the rate of stone formation was slower. To the authors' knowledge, this is the first case report in Thailand. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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