Skip to main content
Log in

Urine alkalinization may be enough for the treatment of bilateral renal pelvis stones associated with Lesch–Nyhan syndrome

  • Case Report
  • Published:
Urological Research Aims and scope Submit manuscript

Abstract

Lesch–Nyhan syndrome is a rare sex-linked disorder of purine metabolism that is caused by a mutation in the hypoxanthine–guanine phosphoribosyltransferase (HPRT) gene which causes marked hyperuricemia and hyperuricosuria, with signs of gouty arthritis and uric acid stone disease in early childhood. We report a case of renal pelvis calculi which was dissolved within 10 days of urine alkalinization and hydration.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

References

  1. Ankem M, Glazier DB, Barone JG (2000) Lesch–Nyhan syndrome presenting as acute renal failure secondary to obstructive uropathy. Urology 56:1056

    Article  PubMed  CAS  Google Scholar 

  2. Seegmiller JE (1968) Lesch–Nyhan syndrome. Management and treatment. Fed Proc 27:1097

    PubMed  CAS  Google Scholar 

  3. Jenkins EA, Hallett RJ, Hull RG (1994) Lesch–Nyhan syndrome presenting with renal insufficiency in infancy and transient neonatal hypothyroidism. Br J Rheumatol 33:392

    Article  PubMed  CAS  Google Scholar 

  4. Rosenfeld DL, Preston MP, Salvaggi-Fadden K (1994) Serial renal sonographic evaluation of patients with Lesch–Nyhan syndrome. Pediatr Radiol 24:509

    Article  PubMed  CAS  Google Scholar 

  5. Kursh ED, Resnick MI (1984) Dissolution of uric acid calculi with systemic alkalization. J Urol 132:286

    PubMed  CAS  Google Scholar 

  6. Moran ME, Abrahams HM, Burday DE et al (2002) Utility of oral dissolution therapy in the management of referred patients with secondarily treated uric acid stones. Urology 59:206

    Article  PubMed  Google Scholar 

  7. Cochat P, Pichault V, Bacchetta J et al (2010) Nephrolithiasis related to inborn metabolic diseases. Pediatr Nephrol 25:415

    Article  PubMed  Google Scholar 

  8. Porena M, Guiggi P, Micheli C (2007) Prevention of stone disease. Urol Int 79(1):37

    Article  PubMed  Google Scholar 

  9. Cameron JS, Moro F, Simmonds HA (1993) Gout, uric acid and purine metabolism in paediatric nephrology. Pediatr Nephrol 7:105

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Du Geon Moon.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Oh, M.M., Ham, B.K., Kang, S.H. et al. Urine alkalinization may be enough for the treatment of bilateral renal pelvis stones associated with Lesch–Nyhan syndrome. Urol Res 39, 417–419 (2011). https://doi.org/10.1007/s00240-011-0364-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00240-011-0364-z

Keywords

Navigation