Akademik Veri Yönetim Sistemi
Turkiye Klinikleri Journal of Medical Sciences, cilt.33, sa.4, ss.1127-1132, 2013 (Scopus)
Objective: To determine the demographic, clinical and etiologic characteristics as well as treatment strategies of childhood urolithiasis. Material and Methods: The data of 81 children with urolithiasis, who were followed up between 2008 and 2010 in Izmir Tepecik Training and Research Hospital Department of Pediatric Nephrology were reviewed retrospectively. The clinical, radiological and metabolic features of these children were evaluated. Results: The mean age at admission was 71.41 ± 59.65 months. Family history of urolithiasis was found in 44 (54.3%) children. The most common presenting symptoms were abdominal pain (45.7%), vomiting (19.8%) and fever (13.6%). Urine analysis revealed pyuria in 25.9%, hematuria in 33.3% and proteinuria in 12.3% of the patients. The most common metabolic risk factors were hypercalciuria (22.2%) and hypocitraturia (14.8%). Sixty-eight (83.9%) cases received medical therapy while 13 (16.1%) cases required surgery. Conclusion: To prevent the renal damage and the recurrences in children with urolithiasis in countries like Turkey in which the etiology is mostly metabolic, the risk factors like hypercalciuria should be evaluated very cautiously, and their early diagnosis and treatment modalities should be considered. © 2013 by Türkiye Klinikleri.