Table 2.
Patient N | Age (y)/years of f/u | Treatment | Ca blood (mg/dl) | P blood (mg/dl) | PTH (pg/ml) (14–53) | 1,25-D (pmol/l) (39–160) | Ca/Creatinine urine (mg/mg) | US | eGFR (mL/min/ 1.73 m2) |
---|---|---|---|---|---|---|---|---|---|
1 | 5/4.6 | Diet-Low sodium Low calcium Low vitamin D |
10.1 (N 8.8–10.8) | 5.8 (N 3.2–5.8) | 5.5 | 130 | 0.6 (N < 0.4) | NC (grade 3) | 120 |
2 | 2/1.1 | No | 9.1 (N 8.8–10.8) | 4.4 (N 4–6.5) | 17 | 210 | N/a | N/a | 159 |
3 | 8/7.1 | TZD 12.5 mg/day Citrate Diet-Low sodium |
9.6 (N 8.8–10.8) | 5 (N 3.2–5.8) | 13.6 | 191 | 0.28 (N < 0.2) | NL → stone excretion → N |
140 |
4 | 17/6 | TZD 25 mg/day Phosphor supplement Citrate |
9.8 (N 8.4–10.2) | 3.7 (N 2.5–5) | 11.7 | 370 | 0.15 (N < 0.2) | N | 159 |
5 | 2/1.9 | No | 10.1 (N 8.8–10.8) | 5.2 (N 4–6.5) | 18.8 | 170 | 0.5 (N < 0.4) | N | 117 |
6 | 17/14 | TZD 25 mg/day Citrate Diet- Low sodium |
10.6 (N 8.4–10.2) | 5.8 (N 2.5–5) | 7 | 233 | 0.4 (N < 0.2) | NL | 84 |
7 | 12/5 | TZD 12.5 mg/day Citrate Diet- Low sodium |
10.8 (N 8.4–10.2) | 4.9 (N 3.2–5.8) | 6 | 196 | 0.25 (N < 0.2) | NL | 130 |
8 | 3/2.9 | No | 10.9 (N 8.8–10.8) | 4.6 (N 3.2–5.8) | 10.9 | 168 | 0.2 (N < 0.4) | N | 161 |
9 | 2/1.4 | Diet-Low sodium | 10.3 (N 8.8–10.8) | 4.4 (N 4–6.5) | 14 | 262 | 0.6 (N < 0.4) | NC (grade 3) | 192 |
10 | 4/2 | TZD 6.25 mg/day Diet-Low sodium |
11.2 (N 8.8–10.8) | 4.9 (N 3.2–5.8) | 14 | 158 | 0.46 (N < 0.4) | NC (grade 3) | 88 |
Summary data | follow up (median) 3.75 (range 1.1–14 y) | Mean ± SD 10.3 ± 0.6 | Mean ± SD 4.87 ± 0.6 | Mean ± SD 12 ± 4.5 |
Mean ± SD 209 ± 65 | Hypercalciuria-7 | NC-3 NL-2 N-4 |
CKD-2 |
eGFR, estimated glomerular filtration rate using modified Schwartz Formula (14); Y, years; n/a, not available; NC, nephrocalcinosis; NL, nephrolithiasis; N, normal; TZD, Disothiazide; Ca, calcium; PTH, parathyroid hormone; US, ultrasound.
Normal blood calcium values for age are noted in parenthesis.
Normal urinary calcium/creatinine ratios for age are noted in parenthesis (13, 14).