Vanishing hypercalciuric kidney stones after treating underlying acromegaly.

IF 0.7
Eline van der Valk, Tom Tobe, Aline Stades, Alex Muller
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引用次数: 3

Abstract

Unlabelled: A 53-year-old male presented with recurrent calcium oxalate kidney stones as a first sign of underlying acromegaly, which vanished when his acromegaly was controlled. The exact mechanism behind hypercalciuria and urolithiasis in acromegaly is not yet clear. By discussing this case, a short overview of the pathophysiology of hypercalciuria in acromegaly and practical insights are given.

Learning points: Hypercalciuria is a common finding in acromegaly.There are only few reports describing hypercalciuric kidney stones in acromegaly.We assume that in acromegaly there is a primary role of IGF1-mediated, PTH-independent increase in calcitriol synthesis resulting in hypercalciuric kidney stones.

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治疗潜在肢端肥大症后高钙尿酸肾结石消失。
未标记:一名53岁男性,复发性草酸钙肾结石作为潜在肢端肥大症的第一个迹象,当他的肢端肥大症得到控制后消失。肢端肥大症患者高钙尿和尿石症的确切机制尚不清楚。通过讨论本病例,简要概述了肢端肥大症高钙尿的病理生理和实际见解。学习要点:高钙尿症是肢端肥大症的常见症状。肢端肥大症中出现高钙血症肾结石的报道很少。我们认为在肢端肥大症中,igf1介导的、不依赖甲状旁腺素的骨化三醇合成增加是导致高钙血症肾结石的主要原因。
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