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Urolithiasis pp 703-706 | Cite as

Nephrolithiasis in Dialysed Patients — Evidence for a Peculiar Type of Matrix Stones with Ca-Oxalate Inclusions

  • J. Bommer
  • E. Ritz
  • R. Waldherr
  • W. Tschöppe

Abstract

Recently it has been recognized by Bommer1 and Caralps2 that nephrolithiasis may arise de novo in patients on maintenance hemodialysis. Such stones were shown to consist of a protein matrix with amyloid-like microfibrillar ultrastructure. The organic phase consisted primarily of protein with little carbohydrate or lipid. A small admixture of inorganic material (whewellite) or ammonium-hydrogen-urate was found; the amount of which varied from 15–50% of dry weight in the study of Bommer1. The present study was designed (1) to further characterize the natural history of this type of nephrolithiasis, and (2) to further analyse the composition of the stones.

Keywords

Maintenance Hemodialysis Urinary Uric Acid Cast Formation Dilate Tubule Matrix Stone 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    J. Bommer, E. Ritz, W. Tschöpe, R. Waldherr, and M. Gebhardt, Kid. Int. 16:722 (1979).CrossRefGoogle Scholar
  2. 2.
    A. Caralps, J. Andreu, A. Brulles, J. Lloveras, J. Masramon, J. M. Gil-Vernet, M. Fernandez Conde, and M. T. Vidal, (abstract), Min. Electrol. Metab. 2:213 (1979).Google Scholar

Copyright information

© Springer Science+Business Media New York 1981

Authors and Affiliations

  • J. Bommer
    • 1
    • 2
  • E. Ritz
    • 1
    • 2
  • R. Waldherr
    • 1
    • 2
  • W. Tschöppe
    • 1
    • 2
  1. 1.Medizinische Universitätsklinik HeidelbergHeidelbergGermany - FRT
  2. 2.Pathologisches InstitutUniversität HeidelbergHeidelbergGermany

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