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A case of failure to thrive secondary to primary hyperoxaluria type 1
Rachel Stern1, Vicky Kuo1, Sarah Rogal1
1Department of Pediatrics, Jacobi Medical Center, 1400 Pelham Parkway, Bronx, NY 10461, USA.
Insights
Primary hyperoxaluria type 1, a rare genetic disorder, caused kidney stones in an infant. This case highlights a unique early presentation without kidney failure, suggesting a potential new comorbidity.
Area of Science:
- Nephrology
- Genetics
- Pediatrics
Background:
- Primary hyperoxaluria type 1 is an inherited metabolic disorder.
- It leads to excessive oxalate production and deposition in the kidneys.
Observation:
- An 8-month-old female infant presented with failure to thrive and poor oral intake.
- The infant also had kidney stones, leading to the diagnosis.
Findings:
- The patient was diagnosed with primary hyperoxaluria type 1.
- Notably, the infant did not exhibit renal failure at diagnosis, a unique presentation.
Implications:
- This case suggests a previously unreported comorbidity in early-stage primary hyperoxaluria type 1.
- Further research is needed to understand this association and its impact on disease progression.
Abstract:
Primary hyperoxaluria type 1 is a rare genetic condition characterized by oxalate deposition in the kidneys. We report findings of an 8-month old female presenting with failure to thrive, poor oral intake, and kidney stones resulting in the diagnosis of primary hyperoxaluria type 1. The patient exhibits a unique presentation without renal failure at the time of diagnosis suggesting a previously unreported comorbidity in early stages of disease.
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