URINARY LITHIASIS IN PEDIATRICS
Keywords:
Renal lithiasis, childhood, pathogenyAbstract
Renal lithiasis is an infrequent entity in childhood, and its incidence has decreased in developed countries. Affects white individuals more than African Americans in a 4: 1 ratio, with a predominance of males. There are geographic, racial, genetic factors involved in its pathogenesis, which also depends on physicochemical factors (renal elimination of water and solutes, urinary pH, balance between stimulating factors/inhibitors of crystallization), anatomical alterations, infections and socioeconomic changes. Over time, changes have occurred in dietary habits, which has changed the frequency, chemical composition and location of the stones. Despite its rarity, lithiasis must be considered in order to avoid irreversible kidney damage. The availability of less aggressive therapy has reduced surgical indications to 5%, opening new perspectives in the treatment of urolithiasis in childhood.
The present article constitutes a bibliographic review about the organophosphorus intoxication, its clinical manifestations, diagnosis and treatment.
References
2-Paris E, Sánchez I, Beltramino D, Copto A. Meneghello. 6th ed. Argentina: Panamericana; 2014
3-Lagomarsino E, Ávila D, Baquedano P, Cavagnaro F, Céspedes P. Litiasis urinaria en pediatría. Revista chilena de pediatría. 2003; 74 (4):381-388
4-Kliegman R, Stanton B, St Geme J, Shor N. Nelson Tratado de Pediatría. 20th ed. Barcelona: ELsevier; 2016.
5-Durán Álvarez S. Urolitiasis en el niño. Revista Cubana de Pediatría. 2013; 85(3):371-385
6-Montalvo C, Gómez A. et al. Tratamiento de la urolitiasis pediátrica en nuestro medio. Cir Pediatr 2013; 26:119-123
7-Rodrigo M, Vicente C. Litiasis renal e hipercalciuria Idiopática. Protoc diagn ter pediatr.2014; 1:155-70
8-Habbig S, Beck B, Hoppe B. Nephrocalcinosis and urolithiasis in children. Kidney Int. 2011;80:1278-91
9-Sáez-Torres C, Rodrigo D, Grases F, García-Raja AM, Gómez C, Lumbreras J, et al. Urinary excretion of calcium, magnesium, phosphate, citrate, oxalate and uric acid by healthy schoolchildren following a 12-h collection protocol. Pediatr Nephrol. 2014; 29:1201-8
10-Morgan, M. Pearle, M. Medical management of renal stones. British Medical Journal. 2016; 352
11-Susaeta R. Benavente D. et al. Diagnóstico y manejo de litiasis renales en adultos y niños. Revista Médica Las condes. 2018; 29:197-212
12-Alapont Alacreua J, Queipo Zaragoza a, J, Burgués Gasión a J, Broseta Rico a E, Serrano Durbá A, Boronat Tormo a et al. Tratamiento con litotricia extracorpórea por ondas de choque en niños: nuestra experiencia. Actas Urológicas Españolas. 2002; 26(2):15-19
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