One hundred patients with recurrent calcium nephrolithiasis were submitted to the Pak test. At fasting state hypercalciuria was found in 27 cases, while a group of 16 further patients became hypercalciuric after oral calcium load. Only measurement of urinary cAMP excretion in both conditions made it possible to diagnose renal hypercalciuria in 9 out of 27 patients in the former group; according to test results 4 patients were expected to have primary hyperparathyroidism, but afterwards the disease was identified in only one case.
Diagnostic value of urinary cyclic AMP measurement in patients with calcium nephrolithiasis / Bianchi, Giampaolo; G., Galvanini; D., Schiavone; R., Facchinetti; G., Malossini; V., Lo Cascio; G., Mobilio. - In: INTERNATIONAL UROLOGY AND NEPHROLOGY. - ISSN 0301-1623. - ELETTRONICO. - 17(4):(1985), pp. 311-4-314.
Diagnostic value of urinary cyclic AMP measurement in patients with calcium nephrolithiasis
BIANCHI, Giampaolo;
1985
Abstract
One hundred patients with recurrent calcium nephrolithiasis were submitted to the Pak test. At fasting state hypercalciuria was found in 27 cases, while a group of 16 further patients became hypercalciuric after oral calcium load. Only measurement of urinary cAMP excretion in both conditions made it possible to diagnose renal hypercalciuria in 9 out of 27 patients in the former group; according to test results 4 patients were expected to have primary hyperparathyroidism, but afterwards the disease was identified in only one case.
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