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Cystine Stones: A Single Tertiary Center Experience.
[cystinuria]
Abstract
Objective
:
To
analyze
the
epidemiological
and
clinical
characteristics
and
therapeutic
outcomes
of
patients
with
cystine
stones
and
to
compare
them
with
the
characteristics
of
patients
with
calcium
oxalate
stones
.
Patients
and
Methods
:
We
identified
30
patients
with
cystine
stones
who
were
consulted
in
our
department
from
January
1972
until
December
2013
.
These
patients
were
matched
and
paired
,
based
on
age
and
gender
,
to
30
calcium
oxalate
stone
formers
who
were
diagnosed
and
treated
in
our
department
from
January
2011
until
December
2013
.
Results
:
Cystine
stones
were
significantly
large
in
size
(
p
<
0
.
001
)
and
most
of
them
were
found
in
the
kidney
(
p
=
0
.
002
)
.
Patients
with
cystinuria
had
their
first
stone
episode
at
an
early
age
(
p
<
0
.
001
)
compared
with
patients
with
calcium
oxalate
stones
.
No
significant
differences
were
observed
regarding
the
frequency
and
the
severity
of
symptoms
.
Both
groups
had
similar
visits
per
year
in
outpatient
clinics
,
emergency
room
admissions
,
and
episodes
of
febrile
urinary
tract
infections
.
Cystine
stone
formers
had
undergone
significantly
higher
number
of
procedures
for
stone
removal
(
p
<
0
.
001
)
.
No
statistical
differences
were
found
in
the
compliance
rates
between
the
groups
.
Patients
with
cystine
stones
had
significantly
higher
serum
creatinine
levels
(
p
=
0
.
005
)
.
Conclusions
:
Cystine
stones
present
in
an
earlier
age
and
have
the
likelihood
to
be
large
in
size
.
Patients
with
cystine
stones
undergo
a
greater
number
of
procedures
,
and
they
have
a
greater
risk
to
develop
chronic
renal
impairment
.
Diseases
Validation
Diseases presenting
"calcium oxalate stones"
symptom
cystinuria
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