ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2015, Vol. 24 ›› Issue (4): 395-399.

• 论文 • 上一篇    

双肾多发结石、高草酸尿症、肾功能不全

  

  • 出版日期:2015-08-28 发布日期:2015-09-01

Kidney stone、hyperoxaluria、and renal dysfunction

  • Online:2015-08-28 Published:2015-09-01

摘要:

摘要 12岁男性,因“多发肾结石6年,血肌酐升高8月,加重1月余”入院。临床表现为双肾多发结石,缓慢进展至慢性肾功能不全;结石成分分析为“一水草酸钙结石”;家族中父亲患有肾结石。结合临床、实验室检查、GRHPR基因分析诊断为原发性高草酸尿症2型,高草酸尿症导致肾损害。

关键词: 高草酸尿症, 肾结石, 基因诊断

Abstract:

ABSTRACT Here in we presented a case of a 12-year-old boy who was diagnosed nephrolithiasis 6 years ago and laboratory analysis conformed calcium oxalate monohydrate as the composition of the stones. His serum creatinine level was found elevated 8 months ago and his renal function deteriorated in recent one month. His father was also diagnosed nephrolithiasis but the stone was quite small. With the help of monogenic disease screen we confirmed the diagnosis of primary hyperoxaluria. In this case we concluded that analysis of stone composition and GRHPR gene are very useful for diagnosis of hyperoxaluria type II.

Key words: primary hyperoxaluria, kidney stone, gene , diagnosis