Uric Acid MoleculeThe interaction of mRNA in a eukaryote cell.The exon portion of a DNA strand encodes a specific portion of a protein. In some organisms exons are situated between introns which are spliced from the strand before it is exported from the nucleus and do not code for protein parts.
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Lesch-Nyhan syndrome

Lesch-Nyhan syndrome (LNS) is a rare, inherited disorder caused by a deficiency of the enzyme hypoxanthine-guanine phosphoribosyltransferase (HPRT). LNS is an X-linked recessive disease: the gene is carried by the mother and passed on to her son. LNS is present at birth in baby boys. Patients have severe mental and physical problems throughout life. The lack of HPRT causes a build-up of uric acid in all body fluids, and leads to symptoms such as severe gout, poor muscle control, and moderate mental retardation, which appear in the first year of life. A striking feature of LNS is self-mutilating behaviors, characterized by lip and finger biting, that begin in the second year of life. more...

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Abnormally high uric acid levels can cause sodium urate crystals to form in the joints, kidneys, central nervous system and other tissues of the body, leading to gout-like swelling in the joints and severe kidney problems. Neurological symptoms include facial grimacing, involuntary writhing, and repetitive movements of the arms and legs similar to those seen in Huntington's disease. The direct cause of the neurological abnormalities remains unknown. Because a lack of HPRT causes the body to poorly utilize vitamin B12, some boys may develop a rare disorder called megaloblastic anemia.

The symptoms caused by the buildup of uric acid (arthritis and renal symptoms) respond well to treatment with drugs such as allopurinol that reduce the levels of uric acid in the blood. The mental deficits and self-mutilating behavior do not respond to treatment. There is no cure, but many patients live to adulthood.

LNS is rare, affecting about one in 380,000 live births. It was first described in 1964 by Dr. Michael Lesch and Dr. William Nyhan.

Features

LNS is characterized by three major hallmarks: neurologic dysfunction, cognitive and behavioral disturbances, as well as uric acid overproduction (hyperuricemia). Some may also be afflicted with anemia (macrocytic). Virtually all patients are male, and male victims suffer delayed growth and puberty, and most develop shrunken testicles or testicular atrophy. Female carriers are at an increased risk for gouty arthritis, but are usually otherwise unaffected.

Overproduction of uric acid

One of the first symptoms of the disease is the presence of sand-like crystals of uric acid in the diapers of the affected infant. Overproduction of uric acid may lead to the development of uric acid crystals or stones in the kidneys, ureters, or bladder. Such crystals deposited in joints later in the disease may produce gout-like arthritis, with swelling and tenderness.

The overproduction of uric acid is present at birth, but may not be recognized by routine clinical laboratory testing methods. The serum uric acid concentration is often normal, as the excess purines are promptly eliminated in the urine. The crystals usually appear as an orange grainy material, or they may coalesce to form either multiple tiny stones, or distinct large stones that are difficult to pass. The stones, or calculi, usually cause hematuria (blood in the urine) and increase the risk of urinary tract infection. Some victims suffer kidney damage due to such kidney stones. Stones may be the presenting feature of the disease, but can go undetected for months or even years.

Nervous system impairment

The periods before and surrounding birth are typically normal in individuals with LNS. The most common presenting features are abnormally decreased muscle tone (hypotonia) and developmental delay, which are evident by three to six months of age. Affected individuals are late in sitting up, while most never crawl or walk. Lack of speech is also a very common trait associated with LNS.

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Kidney stones
From Gale Encyclopedia of Medicine, 4/6/01 by Rosalyn S. Carson-DeWitt

Definition

Kidney stones are solid accumulations of material that form in the tubal system of the kidney. Kidney stones cause problems when they block the flow of urine through or out of the kidney. When the stones move along the ureter, they cause severe pain.

Description

Urine is formed by the kidneys. Blood flows into the kidneys, and specialized tubes (nephrons) within the kidneys allow a certain amount of fluid from the blood, and certain substances dissolved in that fluid, to flow out of the body as urine. Sometimes, a problem causes the dissolved substances to become solid again. Tiny crystals may form in the urine, meet, and cling together to create a larger solid mass called a kidney stone.

Many people do not ever find out that they have stones in their kidneys. These stones are small enough to allow the kidney to continue functioning normally, never causing any pain. These are called "silent stones." Kidney stones cause problems when they interfere with the normal flow of urine. They can block (obstruct) the flow down the tube (the ureter) that carries urine from the kidney to the bladder. The kidney is not accustomed to experiencing any pressure. When pressure builds from backed-up urine, the kidney may swell (hydronephrosis). If the kidney is subjected to this pressure for some time, it may cause damage to the delicate kidney structures. When the kidney stone is lodged further down the ureter, the backed-up urine may also cause the ureter to swell (hydroureter). Because the ureters are muscular tubes, the presence of a stone will make these muscular tubes spasm, causing severe pain.

About 10% of all people will have a kidney stone in his or her lifetime. Kidney stones are most common among:

  • Caucasians
  • Males
  • People over the age of 30
  • People who have had kidney stones previously
  • Relatives of kidney stone patients.

Causes & symptoms

Kidney stones can be composed of a variety of substances. The most common types of kidney stones include:

  • Calcium stones. About 80% of all kidney stones fall into this category. These stones are composed of either calcium and phosphate, or calcium and oxalate. People with calcium stones may have other diseases that cause them to have increased blood levels of calcium. These diseases include primary parathyroidism, sarcoidosis, hyperthyroidism, renal tubular acidosis, multiple myeloma, hyperoxaluria, and some types of cancer. A diet heavy in meat, fish, and poultry can cause calcium oxalate stones.
  • Struvite stones. About 10% of all kidney stones fall into this category. This type of stone is composed of magnesium ammonium phosphate. These stones occur most often when patients have had repeated urinary tract infections with certain types of bacteria. These bacteria produce a substance called urease, which increases the urine pH and makes the urine more alkaline and less acidic. This chemical environment allows struvite to settle out of the urine, forming stones.
  • Uric acid stones. About 5% of all kidney stones fall into this category. Uric acid stones occur when increased amounts of uric acid circulate in the bloodstream. When the uric acid content becomes very high, it can no longer remain dissolved and solid bits of uric acid settle out of the urine. A kidney stone is formed when these bits of uric acid begin to cling to each other within the kidney, slowly growing into a solid mass. About half of all patients with this type of stone also have deposits of uric acid elsewhere in their body, commonly in the joint of the big toe. This painful disorder is called gout. Other causes of uric acid stones include chemotherapy for cancer, certain bone marrow disorders where blood cells are over-produced, and an inherited disorder called Lesch-Nyhan syndrome.
  • Cystine stones. About 2% of all kidney stones fall into this category. Cystine is a type of amino acid, and people with this type of kidney stone have an abnormality in the way their bodies process amino acids in the diet.

Patients who have kidney stones usually do not have symptoms until the stones pass into the ureter. Prior to this, some people may notice blood in their urine. Once the stone is in the ureter, however, most people will experience bouts of very severe pain. The pain is crampy and spasmodic, and is referred to as "colic". The pain usually begins in the flank region, the area between the lower ribs and the hip bone. As the stone moves closer to the bladder, a patient will often feel the pain radiating along the inner thigh. In women, the pain may be felt in the vulva. In men, the pain may be felt in the testicles. Nausea, vomiting, extremely frequent and painful urination, and obvious blood in the urine are common. Fever and chills usually means that the ureter has become obstructed, allowing bacteria to become trapped in the kidney causing a kidney infection (pyelonephritis).

Diagnosis

Diagnosing kidney stones is based on the patient's history of the very severe, distinctive pain associated with the stones. Diagnosis includes laboratory examination of a urine sample and an x-ray examination. During the passage of a stone, examination of the urine almost always reveals blood. A number of x-ray tests are used to diagnose kidney stones. A plain x ray of the kidneys, ureters, and bladder may or may not reveal the stone. A series of x rays taken after injecting iodine dye into a vein is usually a more reliable way of seeing a stone. This procedure is called an intravenous pyelogram (IVP). The dye "lights up" the urinary system as it travels. In the case of an obstruction, the dye will be stopped by the stone or will only be able to get past the stone at a slow trickle.

When a patient is passing a kidney stone, it is important that all of his or her urine is strained through a special sieve. This is to make sure that the stone is caught. The stone can then be sent to a special laboratory for analysis so that the chemical composition of the stone can be determined. After the kidney stone has been passed, other tests will be required in order to understand the underlying condition that may have caused the stone to form. Collecting urine for 24 hours, followed by careful analysis of its chemical makeup, can often determine a number of reasons for stone formation.

Treatment

A patient with a kidney stone will say that the most important aspect of treatment is adequate pain relief. Because the pain of passing a kidney stone is so severe, narcotic pain medications (like morphine) are usually required. It is believed that stones may pass more quickly if the patient is encouraged to drink large amounts of water (2-3 quarts per day). If the patient is vomiting or unable to drink because of the pain, it may be necessary to provide fluids through a vein. If symptoms and urine tests indicate the presence of infection, antibiotics will be required.

Although most kidney stones will pass on their own, some will not. Surgical removal of a stone may become necessary when a stone appears too large to pass. Surgery may also be required if the stone is causing serious obstructions, pain that cannot be treated, heavy bleeding, or infection. Several alternatives exist for removing stones. One method involves inserting a tube into the bladder and up into the ureter. A tiny basket is then passed through the tube, and an attempt is made to snare the stone and pull it out. Open surgery to remove an obstructing kidney stone was relatively common in the past, but current methods allow the stone to be crushed with shock waves (called lithotripsy). These shock waves may be aimed at the stone from outside of the body by passing the necessary equipment through the bladder and into the ureter. The shock waves may be aimed at the stone from inside the body by placing the instrument through a tiny incision located near the stone. The stone fragments may then pass on their own or may be removed through the incision. All of these methods reduce the patient's recovery time considerably when compared to the traditional open operation.

Alternative treatment

Alternative treatments for kidney stones include the use of herbal medicine, homeopathy, acupuncture, acupressure, hypnosis, or guided imagery to relieve pain. Starfruit (Averrhoa carambola) is recommended to increase the amount of urine a patient passes and to relieve pain. Dietary changes can be made to reduce the risk of future stone formation and to facilitate the resorption of existing stones. Supplementation with magnesium, a smooth muscle relaxant, can help reduce pain and facilitate stone passing. Homeopathy and herbal medicine, both western and Chinese, recommend a number of remedies that may help prevent kidney stones.

Prognosis

A patient's prognosis depends on the underlying disorder causing the development of kidney stones. In most cases, patients with uncomplicated calcium stones will recover very well. About 60% of these patients, however, will have other kidney stones. Struvite stones are particularly dangerous because they may grow extremely large, filling the tubes within the kidney. These are called staghorn stones and will not pass out in the urine. They will require surgical removal. Uric acid stones may also become staghorn stones.

Prevention

Prevention of kidney stones depends on the type of stone and the presence of an underlying disease. In almost all cases, increasing fluid intake so that a person consistently drinks several quarts of water a day is an important preventative measure. Patients with calcium stones may benefit from taking a medication called a diuretic, which has the effect of decreasing the amount of calcium passed in the urine. Eating less meat, fish, and chicken may be helpful for patients with calcium oxalate stones. Other items in the diet that may encourage calcium oxalate stone formation include beer, black pepper, berries, broccoli, chocolate, spinach, and tea. Uric acid stones may require treatment with a medication called allopurinol. Struvite stones will require removal and the patient should receive an antibiotic. When a disease is identified as the cause of stone formation, treatment specific to that disease may lessen the likelihood of repeated stones.

Further Reading

For Your Information

    Books

  • Asplin, John R., et al. "Nephrolithiasis." In Harrison's Principles of Internal Medicine, edited by Anthony S. Fauci, et al. New York: McGraw-Hill, 1998.
  • Fishman, Mark C., et al. Medicine. Philadelphia: J. B. Lippincott Co., 1996.

    Periodicals

  • Goshorn, Janet. "Kidney Stones: Strategies for Managing This Common, Excruciating Condition." American Journal of Nursing, 96 (9)(September 1996): 40+.
  • "New Advice Regarding the Treatment of Kidney Stones." HealthFacts, 22 (11)(November 1997): 2.
  • Squires, Sally. "New Guidelines Issued for Kidney Stones." The Washington Post, 120 (280)(October 7, 1997): WH7.
  • Trivedi, Bhairvi K. "Nephrolithiasis: How It Happens and What To Do About It." Postgraduate Medicine, 100 (6)(December 1996): 63+.

    Organizations

  • American Foundation for Urologic Disease. 300 West Pratt St., Baltimore, MD 21201-2463. (800) 242-2383.
  • National Kidney Foundation. 30 East 33rd St., New York, NY 10016. (800) 622-9010.

Gale Encyclopedia of Medicine. Gale Research, 1999.

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