Primary hyperoxaluria: the adult nephrologist's point of view.

clinical presentation diagnosis of rare diseases kidney stones primary non-function screening for rare disease

Journal

Clinical kidney journal
ISSN: 2048-8505
Titre abrégé: Clin Kidney J
Pays: England
ID NLM: 101579321

Informations de publication

Date de publication:
May 2022
Historique:
received: 01 12 2021
entrez: 17 6 2022
pubmed: 18 6 2022
medline: 18 6 2022
Statut: epublish

Résumé

In adults, primary hyperoxaluria (PH) does not always present as obviously as in children, leading to delayed or even missed diagnosis. When diagnosed in adulthood, PH usually progresses at a slower rate and the focus is on the prevention of recurrent kidney stones as much as it is on the preservation of renal function. The most tragic presentation is when the diagnosis is made after primary non-function of a renal graft for treating previously unknown renal disease. Recurrent stones, nephrocalcinosis and features of systemic oxalosis can all be presenting features. For these reasons, consideration should be given to screening for this rare condition, using biochemical and/or genetic means, but being careful to exclude common differential diagnoses. Such efforts should be synchronized with diagnostic methods for other rare kidney diseases.

Identifiants

pubmed: 35711295
doi: 10.1093/ckj/sfac068
pii: sfac068
pmc: PMC9194796
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

i29-i32

Subventions

Organisme : NIDDK NIH HHS
ID : P01 DK056788
Pays : United States

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press on behalf of the ERA.

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Auteurs

Shabbir H Moochhala (SH)

Royal Free and University College Medical School, UCL Department of Renal Medicine, London, UK.

Elaine M Worcester (EM)

University of Chicago, Nephrology Section, South Maryland, Chicago, IL, USA.

Classifications MeSH