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003 EG-GiCUC
005 20250223031847.0
008 171126s2017 ua d f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.28.M.Sc.2017.Am.P
100 0 _aAmr Ahmed Ahmed Fathalla
245 1 0 _aPrevalence of radiolucent renal stones in pediatric age group /
_cAmr Ahmed Ahmed Fathalla ; Supervised Samuel Helmy Makar , Safaa Mohamed Abdelrahman , Marwa Mahmoud Elsharkawy
246 1 5 _aنسبه انتشار حصوات الكلى الشفيفه للاشعه فى الاطفال
260 _aCairo :
_bAmr Ahmed Ahmed Fathalla ,
_c2017
300 _a116 P. :
_bcharts ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _aBackground: Most of the children with nephrolithiasis have a metabolic background of stone disease. Hence, early diagnosis of the renal stone type may target for dietary and pharmacological interventions that prevent its recurrence. Radiolucent renal stone may be composed of pure uric acid or dihydroxyadinine. Determination of radiolucent stone composition is of particular importance because uric acid stones can be treated with urinary alkalinization, while patients with DHA stones should be treated by allopurinol. Objective: Detect the prevalence of different types of radiolucent stones in pediatric age group. Methodology: The study was carried out on 50 pediatric patients with radiolucent renal stones following in nephrology clinic, Cairo university children{u2019}s hospital from July 2016 to February 2017. Analyzing of the epidemiology and clinical presentation were done, with specific investigations were carried out to determine the type of the radiolucent renal stones. Results: Forty percent of the cases the stone type was not determined, they had decreased activity of APRT enzyme but with residual more than 25%, and had no DHA crystals in their urine, while serum uric acid and urinary uric acid creatinine ratio were normal. Cases with high serum uric acid and urinary uric acid creatinine ratio were about 35%.whilePatients with DHA stones, diagnosed by APRT enzyme residual activity below 25% and presence of DHA crystals in urine, represented 12%. Conclusion: Prevalence of DHA renal stone is seriously under recognized and increasing the awareness of this disorder is highly important, proper examination of urinary crystal is diagnostic
530 _aIssued also as CD
653 4 _aRadiolucent
653 4 _aRenal stone
653 4 _aUric acid
700 0 _aMarwa Mahmoud Elsharkawy ,
_eSupervisor
700 0 _aSafaa Mohamed Abdelrahman ,
_eSupervisor
700 0 _aSamuel Helmy Makar ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c63695
_d63695