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Published on: February 9, 2021
Idiopathic hypercalciuria in infants with renal stones
Anita Ammenti1, Erica Neri, Roberta Agistri
1Department of Pediatrics, University of Parma, Parma, Italy.
Insights
Idiopathic hypercalciuria (IH) is a common cause of kidney stones and microcalculi in infants. Early screening for IH is recommended in infants presenting with these conditions.
Area of Science:
- Pediatric Nephrology
- Urology
- Metabolic Disorders
Background:
- Hypercalciuria is a leading cause of renal stones in children over two years old.
- The prevalence of hypercalciuria in infants is not well-established.
- Renal stones and microcalculi can occur in infants.
Purpose of the Study:
- To investigate the prevalence and significance of idiopathic hypercalciuria (IH) in infants with renal stones or microcalculi.
- To determine if IH is a frequent cause of kidney stones in this age group.
Main Methods:
- Retrospective case series of infants diagnosed with renal stones or microcalculi between 5 and 19 months of age.
- Metabolic evaluation of four infants.
- Diagnosis of idiopathic hypercalciuria (IH) in the evaluated patients.
Main Results:
- Four infants were diagnosed with renal stones or microcalculi between 5 and 19 months of age.
- Idiopathic hypercalciuria (IH) was diagnosed in all four evaluated infants.
- IH was identified as a frequent cause of microcalculi and renal stones in infants.
Conclusions:
- Idiopathic hypercalciuria (IH) is a significant cause of microcalculi and renal stones in infants.
- Screening for IH is warranted in infants presenting with renal stones or microcalculi.
Abstract:
In children older than 2 years, hypercalciuria is the most common metabolic cause of renal stones. In infants, its prevalence is not well established. Since 1990, we observed five infants in whom renal stones or microcalculi were diagnosed between the age of 5 and 19 months. One of them was lost to follow up. In the present report, we describe the four patients who underwent metabolic evaluation and in whom idiopathic hypercalciuria (IH) was diagnosed. We conclude that IH is a frequent cause of microcalculi and renal stones in infants, and a screen for this condition is warranted in this age group.
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