Katzir Z, Shvil Y, Landau E H, Popovtzer M M
Nephrology Service, Hadassah University Hospital, Jerusalem, Israel.
Acta Paediatr. 1992 Mar;81(3):277-9. doi: 10.1111/j.1651-2227.1992.tb12224.x.
A one-year-old boy presented with hypercalciuria and nephrolithiasis following a course of ACTH therapy for infantile spasms. After a successful cystolithotripsy, therapy with chlorothiazide was followed by regression of the hypercalciuria within 42 months. Neither nephrolithiasis nor nephrocalcinosis recurred. Therapy with thiazides to prevent hypercalciuria caused by ACTH is proposed.
一名1岁男孩在接受促肾上腺皮质激素(ACTH)治疗婴儿痉挛症后出现高钙尿症和肾结石。在成功进行膀胱碎石术后,使用氯噻嗪治疗,42个月内高钙尿症消退。肾结石和肾钙质沉着症均未复发。建议使用噻嗪类药物治疗以预防ACTH引起的高钙尿症。