Abstract
Recurrent stone formation in patients with calcium oxalate lithiasis poses a serious problem to clinicians. Three major hypothesis have been proposed to explain renal stone formation: (i) supersaturation of one or more of the components in renal stones, (ii) matrix crystallization and (iii) absence of inhibitory substances in urine. In idiopathic urolithiasis, while the 24 h urinary excretion of the lithogenic substances may well be within the normal ranges, frequent excretion/concentration peaks during the day may exist when nucleation would occur. Such a circadian rhythmicity of lithogenic substances would enhance the risk of stone formation. In the present study therefore, circadian variation of four lithogenic urinary parameters viz., calcium, oxalate, uric acid and inorganic phosphorous has been investigated in patients with urolithiasis.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Natelson S (1963) In: Microtechniques of clinical chemistry, Ilth ed. CC Thomas Publishers, Springfield, Ill, USA, p 196
Hodgkinson A, Williams A (1972) Clin Chim Acta 36: 127–132
Trinder P (1960) In: Wootton IDP (ed) Microanalysis in Medical Biochemistry. (4th edition) Churchill, London, p 176
Henry RJ (1967) In: Henry RJ (ed) Clinical Chemistry: Principles and Techniques. Harper and Row, USA, pp 278–283
Fiske CH, Subbarow Y (1925) J Biol Chem 66: 375–400
Halberg F, Tong YL, Johnson E (1967) In: The cellular Aspects of Biorhythms. Springer Verlag, pp 20–48, Berlin
Coe FL, Parks JH (1981) Urol Clin North America 8: 227–244
Fellstrom B, Danielson BG, Karlstrom B, Lithell H, Ljunghall S, Vessby B (1983) Clin Sci 64: 399–405
Vahlensieck EW, Bach D, Hesse A (1982) Urol Res 10: 195–203
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1987 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG., Darmstadt
About this paper
Cite this paper
Nath, R., Thind, S.K., Vaidyanathan, S., Sidhu, H. (1987). Circadian biology of the urinary excretion of calcium, oxalate, phosphorus and uric acid in renal calculous patients. In: Vahlensieck, W., Gasser, G. (eds) Pathogenese und Klinik der Harnsteine XII. Fortschritte der Urologie und Nephrologie, vol 25. Steinkopff. https://doi.org/10.1007/978-3-642-72399-5_35
Download citation
DOI: https://doi.org/10.1007/978-3-642-72399-5_35
Publisher Name: Steinkopff
Print ISBN: 978-3-7985-0713-5
Online ISBN: 978-3-642-72399-5
eBook Packages: Springer Book Archive