Primary hyperoxaluria.

dc.contributor.authorTantbirojn, Patouen_US
dc.contributor.authorKittikowit, Wipaweeen_US
dc.contributor.authorKingwattanakul, Pornchaien_US
dc.date.accessioned2009-05-27T18:33:55Z
dc.date.available2009-05-27T18:33:55Z
dc.date.issued2007-08-12en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractA 5-month-old female infant who had chronic diarrhea and acute renal failure was referred to Chulalongkorn Hospital for further investigation and management. Laboratory investigation revealed elevated blood urea nitrogen and creatinine level, hypocalcemia, hyperphosphatemia, and hyponatremia. Ultrasonography of the kidneys showed normal size with bilateral hyperechoic kidneys. Eyes examination was compatible with oxalosis maculopathy. Urine organic acid analysis revealed peak of oxalate and glycolate. Clinical impression concluded acute renal failure from hyperoxaluria. The patient underwent continuous venovenous hemodiafiltration (CVVH-DF) with regional citrate anticoagulation and expired on day 13 after admission. Pathological examination of kidney necropsy revealed diffuse intraluminal deposition of oxalate crystals within the renal parenchyma. Primary hyperoxaluria is a very rare disease and has rarely been reported in Thailand. In the presented case, the diagnosis was delayed due to uncommon presentation and unavailability of diagnostic laboratory.en_US
dc.description.affiliationDepartment of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Rd, Bangkok 10330, Thailand. two_devil@hotmail.comen_US
dc.identifier.citationTantbirojn P, Kittikowit W, Kingwattanakul P. Primary hyperoxaluria. Journal of the Medical Association of Thailand. 2007 Aug; 90(8): 1669-72en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/39402
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshHyperoxaluria, Primary --complicationsen_US
dc.subject.meshInfanten_US
dc.subject.meshKidney --pathologyen_US
dc.subject.meshKidney Failure, Acute --etiologyen_US
dc.titlePrimary hyperoxaluria.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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