Hasni Bouraoui I, Hajlaoui W, Jemni H, Arifa N, Mrad Dali K, Daadoucha A, Abroug S, Tlili Graeiss K
Service d'imagerie médicale, CHU Sahloul, Sousse, Tunisia.
Arch Pediatr. 2009 Nov;16(11):1453-6. doi: 10.1016/j.arcped.2009.07.026. Epub 2009 Sep 10.
We report 3 cases of primary oxalosis with nephrocalcinosis and severe renal failure. Extrarenal involvement was noted in bones in 3 cases, the heart in 2 cases, the central nervous system in 2 cases, the skin in 1 case and the eye in 1 case. The 3 patients presented with acute digestive disorders. Ultrasonography and CT scans showed digestive wall calcifications in addition to the classic appearance of primary oxalosis such as nephrocalcinosis or bone involvement. Primary hyperoxaluria is characterized by a calcium deposit in different tissues, mainly in kidneys. Digestive wall involvement has never been reported in the literature. Primary oxaluria should be considered in the presence of such a deposit in the gut wall.
我们报告了3例原发性草酸血症伴肾钙质沉着症和严重肾衰竭的病例。3例出现肾外骨骼受累，2例累及心脏，2例累及中枢神经系统，1例累及皮肤，1例累及眼睛。这3例患者均出现急性消化系统紊乱。超声检查和CT扫描显示，除了原发性草酸血症的典型表现如肾钙质沉着症或骨骼受累外，还存在消化道壁钙化。原发性高草酸尿症的特征是不同组织中出现钙沉积，主要在肾脏。消化道壁受累在文献中从未有过报道。在肠道壁出现这种沉积物时应考虑原发性草酸尿症。
