Differentiation of Unclassified Hypercalciuria Utilizing a Sodium-Cellulose-Phosphate Trial
Proper classification of patients with undifferentiated hypercalciuria has important diagnostic as well as therapeutic implications. However, when undergoing an outpatient evaluation for recurrent stone disease, some patients with hypercalciuric nephrolithiasis may present with elevation of their fasting urinary calcium with no evidence of parathyroid stimulation. This picture of unclassifed hypercalciuria neither fits the description of absorptive hypercalciuria (normal fasting urinary calcium and normal parathyroid function) or renal hypercalciuria (elevated fasting urinary calcium and parathyroid stimulation). In order to further define this group of patients with unclassified hypercalciuria, we utilized a sodium cellulose phosphate (SCP) trial. This test allowed appropriate identification of patients with true absorptive and renal hypercalciuria and uncovered a small subgroup of patients with persistent hypercalciuria and normal parathyroid function.
KeywordsOutpatient Evaluation Absorptive Hypercalciuria Normal iPTH Hypercalciuric Patient Calcium Calcium
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- 3.CYC Pak, Medical management of neprolithiasis: Update 1988, J. Urol. In press (1988).Google Scholar