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Hereditary renal hypouricemia in children.
J Pediatr ; 107(1): 71-4, 1985 Jul.
Article em En | MEDLINE | ID: mdl-4009341
The renal handling of urate was investigated in four children with hereditary renal hypouricemia and in their parents. The urate/creatinine clearance ratios in the four patients were 1.02 +/- 0.28, 0.93 +/- 0.11, 1.03 +/- 0.24, and 1.46 +/- 0.26, markedly higher than those in control subjects. Except for a partial response to pyrazinamide (change in clearance ratio from 1.46 to 1.07) in one patient, pyrazinamide and benzbromarone did not affect the clearance ratios in our patients. In the parents, the urate/creatinine clearance ratios were intermediate between those of the patients and control subjects, but responses to pyrazinamide and benzbromarone were normal. These data indicate that our patients have a combined defect in renal urate reabsorption, and that one of them might be subclassified as having the hypersecretion of defect. Results also show that heterozygotes can be identified by testing their urate/creatinine clearance ratio.
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ácido Úrico / Nefropatias / Túbulos Renais Limite: Child / Child, preschool / Humans Idioma: En Revista: J Pediatr Ano de publicação: 1985 Tipo de documento: Article País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ácido Úrico / Nefropatias / Túbulos Renais Limite: Child / Child, preschool / Humans Idioma: En Revista: J Pediatr Ano de publicação: 1985 Tipo de documento: Article País de publicação: Estados Unidos