Çocuk Sağlığı ve Hastalıkları Dergisi 2013 , Vol 56 , Num 1
Kidney stones in children: results of a center from Eskişehir, Turkey
*Nuran Çetin, Bilal Yıldız, Nurdan Kural³, Sultan Durmuş-Aydoğdu4
Eskişehir Osmangazi Üniversitesi Tıp Fakültesi ¹Pediatri Uzmanı, ²Pediatri Doçenti, ³Pediatri Profesörü, 4Pediatri Profesörü Kidney stones in children is an important public health problem. In our study, we aimed to evaluate the radiological and metabolic features of children with urolithiasis in our area. One hundred eighty-five patients [91 girls (49.2%), 94 boys (50.8%)] with urolithiasis were examined retrospectively. 44.9% of patients had a family history. Vomiting (24.6%) and urinary tract infection (UTI) (35.3%) were more common in patients under 1 year of age (p=0.015). The most common presenting symptoms were abdominal pain (28.7%) and hematuria (25.7%) in patients between the ages of 1-5 (p=0.015). Causes of stones were hypercalciuria (30.3%), hypocitraturia (4.8%), cystinuria (4.8%), and hyperoxaluria (2.7%). We found that spontaneous regression rates were statistically higher in patients with microlithiasis (53.4%) than in patients without microlithiasis (5.7%) (p<0.0001). In conclusion, the complaints of urolithiasis could vary according to age; therefore, urolithiasis should be investigated in older children with abdominal pain and in children under 1 year of age. Patients with microlithiasis can be followed without invasive procedures due to the high spontaneous regression rate, but metabolic tests should also be performed in patients with and without microlithiasis. Anahtar Kelimeler : ürolitiyazis, klinik özellikler, metabolik risk faktörleri, çocukluk çağı.
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