Kidney Stones as an Underrecognized Clinical Sign in Pediatric Cushing Disease.
J Pediatr
; 170: 273-7.e1, 2016 Mar.
Article
in En
| MEDLINE
| ID: mdl-26703870
ABSTRACT
OBJECTIVE:
To investigate the prevalence of kidney stones in a population of children with Cushing disease (CD) and to compare it with the prevalence of kidney stones in healthy children. STUDYDESIGN:
Clinical and biochemical data from 139 pediatric patients with CD (68 females, 71 males) were analyzed retrospectively. Computed tomography scans were reviewed for kidney stones.RESULTS:
Among 139 patients, 27 with CD (19.4%) had either radiographic evidence and/or a history of kidney stones. Those with kidney stones had higher urine free cortisol (P = .008) and transsphenoidal surgery at an older age (P = .007). The average urinary calcium/creatinine ratio was elevated in patients with CD (0.22 ± 0.11). The prevalence of kidney stones was higher in children with CD than in normal children (19.42% vs 1.0%; P < .001).CONCLUSION:
Our results illustrate that kidney stones are an underestimated complication of pediatric CD, especially when compared with the prevalence of nephrolithiasis in the general pediatric population. Long-term consequences for kidney function are not known and need to be studied.
Full text:
1
Database:
MEDLINE
Main subject:
Kidney Calculi
/
Pituitary ACTH Hypersecretion
Type of study:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Language:
En
Year:
2016
Type:
Article