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A Physiological Approach to Recurrent Nephrolithiasis and its Genetic Determinants

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RPNH 2020 61.pdf408.7 KBAdobe PDF Download

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Abstract(s)

We report a case of a 63-year-old patient with recurrent nephrolithiasis for over 40 years and a significant family history of nephrolithiasis. The patient underwent full investigation at our department. He presented hypercalcemia, hypophosphatemia and hypercalciuria, with parathyroid hormone level in the normal range. A calcium load test and a fluorocholine PET-CT excluded primary hyperparathyroidism. Abnormal secretion of parathyroid hormone-related protein and sarcoidosis were also excluded. Genetic analysis showed mutations encoding for 25(OH)-vitamin D3-24-hydroxylase (CYP24A1) and Na-dependent phosphate cotransporter 2c (SLC34A3). This case affords insights into the biological pathways that underlie the role of genetic inheritance and accrued risk of development of nephrolithiasis.

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HCC NEF Calcitriol Hypercalciuria Hyperphosphaturia Nephrolithiasis

Citation

Port J Nephrol Hypert 2020; 34(1): 61-63

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Sociedade Portuguesa de Nefrologia e Hipertensão

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