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Clinical manifestations and etiology of renal stones in children less than 14 years age.
[cystinuria]
Urolithiasis
is
one
of
the
commonest
problems
in
pediatric
nephrology
.
Prevalence
of
urolithiasis
in
pediatric
patients
is
increasing
.
The
purpose
was
to
properly
diagnose
and
treat
with
the
special
attention
to
the
risk
factors
.
This
study
is
case-series
and
was
performed
on
100
pediatric
patients
for
evaluation
of
clinical
manifestation
and
etiology
of
renal
stone
in
Qom
.
Hundred
Children
,
fewer
than
14
years
old
with
mean
age
of
3
.
32
years
,
were
included
(
54
%
male
)
.
Etiology
of
urolithiasis
in
5
%
was
unclear
.
Metabolic
disorders
found
in
patients
were
mainly
:
Hypocitraturia
in
54
,
hyperoxaluria
in
14
,
hyperuricosuria
in
25
,
cystinuria
in
6
,
hypercalciuria
in
28
and
phosphaturia
in
8
patients
.
The
main
clinical
presentation
was
fever
,
pain
,
irritability
,
dysuria
and
hematuria
.
Family
history
of
urolithiasis
was
found
in
23
%
of
patients
and
54
%
presented
with
urinary
tract
infection
(
UTI
)
.
We
conclude
that
majority
of
patients
were
symptomatic
and
hypocitraturia
was
the
commenest
risk
factor
among
others
.
