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Paraplegia as a presentation of primary hyperoxaluria

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Abstract

30% of the patients suffering from hyperoxaluria type 1 are diagnosed only when they already had reached end-stage renal disease. We report the case of a 57-year-old woman with history of chronic kidney failure presenting with paraplegia due to spinal cord compression by thoracic mass-like lesions. Bone biopsy specimen obtained by decompressive laminectomy revealed calcium oxalate deposits. Once diagnosis of primary hyperoxaluria was confirmed, she underwent haemodialysis with incomplete improvement of her neurological disorders and was registered on the waiting list for transplantation.

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References

  1. Worcester EM, Coe FL. Calcium kidney stones. N Engl J Med. 2010;363:954–63.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Cochat P. Primary hyperoxaluria type 1. Kidney Int. 1999;55:2533–47.

    Article  CAS  PubMed  Google Scholar 

  3. Bacchetta J, Boivin G, Cochat P. Bone Impairment in primary hyperoxaluria: a review. Pediatr Nephrol. 2016;31:1–6.

    Article  PubMed  Google Scholar 

  4. Mulay SR, Kulkarni OP, Rupanagudi KV, Migliorini A, Darisipudi MN, Vilaysane A, Muruve D, Shi Y, Munro F, Liapis H, Anders HJ. Calcium oxalate crystals induce renal inflammation by NLRP3-mediated IL-1β secretion. J Clin Invest. 2013;12:236–46.

    Article  CAS  Google Scholar 

  5. Cochat P, Rumsby G. Primary hyperoxaluria. N Engl J Med. 2013;369:649–58.

    Article  CAS  PubMed  Google Scholar 

  6. Hoppe B. An update on primary hyperoxaluria. Nat Rev Nephrol. 2012;8:467–75.

    Article  CAS  PubMed  Google Scholar 

  7. Hoppe B, Beck BB, Milliner DS. The primary hyperoxalurias. Kidney Int. 2009;75:1264–71.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Tang X, Bergstralh EJ, Mehta RA, Vrtiska TJ, Milliner DS, Lieske JC. Nephrocalcinosis is a risk factor for kidney failure in primary hyperoxaluria. Kidney Int. 2015;87:623–31.

    Article  CAS  PubMed  Google Scholar 

  9. Nair P, Al-Otaibi T, Nampoory N, Al-Qabandi W, Said T, Halim MA, Gheith O. Combined liver and kidney transplantation in primary hyperoxaluria: a report of three cases and review of the literature. Saudi J Kidney Dis Transpl. 2013;24:969–75.

    Article  PubMed  Google Scholar 

  10. Bhasin B, Ürekli HM, Atta MG. Primary and secondary hyperoxaluria: understanding the enigma. World J Nephrol. 2015;4:235–44.

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Yves Dimitrov.

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The authors have declared that no conflict of interest exists.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Written informed consent was obtained from the patient’s parents for publication of this case report and accompanying images. A copy of the written consent may be requested for review from the corresponding author.

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Dieudonné, Y., Eprinchard, L., Léon, E. et al. Paraplegia as a presentation of primary hyperoxaluria. CEN Case Rep 7, 313–315 (2018). https://doi.org/10.1007/s13730-018-0349-7

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  • DOI: https://doi.org/10.1007/s13730-018-0349-7

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