Papillary and nonpapillary calcium oxalate monohydrate renal calculi: Comparative study of etiologic factors

Calcium oxalate monohydrate (COM) renal calculi can be classified into two groups: papillary and nonpapillary. In this paper, a comparative study between etiologic factors of COM papillary and nonpapillary calculi is performed. The study included 40 patients with COM renal calculi. The urine of thes...

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Detalles Bibliográficos
Autores: Pieras Ayala, Enrique Carmelo, Costa-Bauzà, Antonia, Ramis, Margarita, Grases, Fèlix
Tipo de recurso: artículo
Fecha de publicación:2006
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/14238
Acceso en línea:https://hdl.handle.net/20.500.13003/14238
Access Level:acceso abierto
Palabra clave:Female
Kidney Calculi
Life Style
Kidney Diseases
Crystallization
Male
Occupational Exposure
Microscopy, Electron, Scanning
Calcium Oxalate
Humans
Diet
Kidney
Masculino
Riñón
Cálculos Renales
Humanos
Estilo de Vida
Microscopía Electrónica de Rastreo
Oxalato de Calcio
Femenino
Enfermedades Renales
Cristalización
Dieta
Exposición Profesional
calcium oxalate monohydrate
renal calculi
etiologic factors
papillary alteration
renal cavities
Descripción
Sumario:Calcium oxalate monohydrate (COM) renal calculi can be classified into two groups: papillary and nonpapillary. In this paper, a comparative study between etiologic factors of COM papillary and nonpapillary calculi is performed. The study included 40 patients with COM renal calculi. The urine of these individuals was analyzed. Case history, lifestyle, and dietetic habits were obtained. No significant differences between urinary biochemical data of both groups were observed; 50% of COM papillary stone formers and 40% of COM nonpapillary stone formers had urolithiasis family history. A low consumption of phytate-rich products was observed for both groups. A relationship between profession with occupational exposure to cytotoxic products and COM papillary renal lithiasis was detected. The results suggest that COM papillary calculi would be associated to papillary epithelium alterations together with a crystallization inhibitors deficit, whereas COM nonpapillary calculi would be associated to the presence of heterogeneous nucleants and a crystallization inhibitors deficit.