Hyperparathyroidism associated with primary hypercalciuria in a patient with recurrent renal lithiasis
DOI:
https://doi.org/10.11606/issn.1679-9836.v102i2e-199863Keywords:
Hypercalciuria, Urinary lithiasis, Secondary hyperparathyroidismAbstract
Urinary lithiasis affects 5 to 10% of the Brazilian population and has a recurrence rate after the first crisis of up to 50% in five to ten years. Hypercalciuria is the most frequent metabolic alteration found in these patients with renal stones and can be characterized in three ways: (1) absorptive (intestinal), (2) renal and (3) resorptive (bone). OBJECTIVE: To describe the case of a patient with recurrent nephrolithiasis associated with hypercalciuria and discuss the association with secondary hyperparathyroidism. MATERIALS AND METHODS: The information was obtained through a review of the medical records, interviews with the patient, photographic record of the diagnostic methods to which the patient was submitted to and review of the literature. CONCLUSION: Calculus caused by sustained primary hypercalciuria can cause hyperparathyroidism secondary to hypocalcemia, so a differential diagnosis with primary hyperparathyroidism and other causes of secondary hyperparathyroidism is necessary.
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