par Fuss, Michel ;Pepersack, Thierry ;Bergmann, Pierre ;Hurard, T.;Simon, Jonathan;Corvilain, Jacques
Référence British journal of urology, 65, page (560-563)
Publication Publié, 1990
Référence British journal of urology, 65, page (560-563)
Publication Publié, 1990
Article révisé par les pairs
Résumé : | The bone mineral content of the radius was measured in 32 male renal stone formers, 18 of them presenting with idiopathic urolithiasis and 14 with primary hyperparathyroidism, a disease known to disturb bone metabolism. The idiopathic stone formers had been on regular treatment with a low calcium diet. The bone mineral content of the radius was reduced to a similar level in both groups of patients. The data suggest that idiopathic stone formers on a low calcium diet are at risk of osteopenia; the factors which could lead to a negative calcium balance included uncompensated renal hypercalciuria, hypophosphataemia and exaggerated serum levels of 1,25-dihydroxyvitamin D. To treat idiopathic hypercalciuria, thiazide diuretics, which reduce the renal excretion of calcium and have been shown to be beneficial for bone, seem safer than a low calcium diet. |