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Cystinuria in children and young adults: success of monitoring free-cystine urine levels.

Cystinuria in children and young adults: success of monitoring free-cystine urine levels. Research Abstract Details 

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  • Cystinuria in children and young adults: success of monitoring free-cystine urine levels. Abstract Text:

    luca dello strologoLuca Dello Strologo,chiara laurenziChiara Laurenzi,antonia legatoAntonia Legato,anna pastoreAnna Pastore,luca dello strologoLuca Dello Strologo,chiara laurenziChiara Laurenzi,antonia legatoAntonia Legato,anna pastoreAnna Pastore,

    Medical treatment of cystinuria is often disappointing. Patients undergo frequent surgery, which is often followed by early relapse. The aim of our study was to evaluate the efficacy of medical treatment of cystinuria, to prevent formation or to reduce the numbers and dimensions of renal stones. Twenty cystinuric patients were treated with a combined approach, including cystine-binding drugs. Free and bound urine cystine levels were measured every 4 months. Drug dosage was adjusted to maintain free urine cystine level below 100 micromol/mmol creatinine. Eighteen patients completed the study; detection of new stones was reduced from 0.28 per year to 0.03 per year, and, in six patients, the numbers and dimensions of pre-existing renal stones were reduced. Surgery was required in one subject, and no relapse was observed 12 months afterwards. The dosage required to achieve target levels was closely correlated with patient body weight: older children required a lower dose. Medical management of cystinuria is feasible. The treatment must be personalised in children, as the amount of drug required is strictly dependent on body size.

    Cystinuria in children and young adults: success of monitoring free-cystine urine levels. Publishing Authors By Initials

    l dello strologoL Dello Strologo,c laurenziC Laurenzi,a legatoA Legato,a pastoreA Pastore,l dello strologoL Dello Strologo,c laurenziC Laurenzi,a legatoA Legato,a pastoreA Pastore,

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    Cystinuria in children and young adults: success of monitoring free-cystine urine levels. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Pediatric nephrology (Berlin, Germany)

    VOLUME: 22

    Page Numbers: 1869-73

    Journal Abbreviation: Pediatr. Nephrol.

    ISSN: 0931-041X

    DAY: 11

    MONTH: 08

    YEAR: 2007

    Cystinuria in children and young adults: success of monitoring free-cystine urine levels. Information

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    LANGUAGE: eng

    NlmUniqueID: 8708728

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    Grant and Affiliation Information for Cystinuria in children and young adults: success of monitoring free-cystine urine levels.

    AFFILIATION: Nephrology and Urology Department, Bambino Gesł Children's Hospital and Research Institute, Piazza S. Onofrio 4, 00165 Rome, Italy. dellostrologo@opbg.net

    Country: Germany

    Germany Research PublicationGermany Research Publication

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    MEDLINETA: Pediatr Nephrol

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