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Associated Systemic Diseases

Bowel and Bones

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Part of the book series: Current Clinical Urology ((CCU))

Abstract

Stone diseases have had known affinities to other systemic diseases for a large portion of written medical history. The first known stone to afflict a human was probably a metabolic product of uric acid metabolism in a boy of the predynastic Egyptian period, almost 7000 years ago. Galen (131–201 ad) proposed the concept that etiologic aspects of stone formation include heredity, climatic, and nutritional factors. Van Helmont (1577–1644) noted that kidney stones were products of undesirable minerals within the urine. Thomas Sydenham (1624–1689) suffered from gout and recurrent urolithiasis. He describes his own disease process with clarity and proposed three hypotheses for the pathophysiology of stone disease and other systemic illnesses. On his disquisition into gout he states: “... the gout breeds the stone in the kidneys in many subjects, either (1) because the patient is obliged to lie long on his back, or (2) because the secretory organs have ceased performing their proper functions; else (3) because the stones is formed from a part of the same morbific matter...”(1).

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Moran, M.E. (2007). Associated Systemic Diseases. In: Stoller, M.L., Meng, M.V. (eds) Urinary Stone Disease. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59259-972-1_12

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