Table 3.
Attributed causes of secondary oxalate nephropathya
| Hyperoxaluria-enabling factors | No. of studies | No. of patients | Percentage distribution | Listed causes |
|---|---|---|---|---|
| Increased intake of oxalate precursors | 30 | 33 | 30.6 |
Averrhoa carambola Vitamin C Peanuts Tea Rhubarb Chaga mushroom Piridoxylate |
| Increased oxalate availability in the colon due to decreased intestinal calcium availability from fat malabsorption | 42 | 81 | 75.0 | Crohn’s disease Celiac disease Chronic pancreatitis Small bowel resection Diabetic gastroenteropathy Pancreatic adenocarcinoma Systemic sclerosis Roux-en-Y bypass Hemicolectomy Gastric bypass Jejunoileal bypass Bariatric surgery Cystic fibrosis Orlistat Octreotide Mycophenolate mofetil |
| Decreased intestinal oxalate degradation due to decreased intestinal colonization with oxalate-degrading bacteria | 1 | 1 | 0.9 | Absence of Oxalobacter formigenes colonization |
| Increased colonic permeability to oxalate | 1 | 1 | 0.9 | Clostridium difficile colitis |
Derived from individual case reports and case series: summary of the 57 case reports and 10 case series (entailing 51 cases), totaling 108 patients. Eight patients had >1 attributed cause of secondary oxalate nephropathy, with all 8 patients having 2 contributing causes.