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肾小管重吸收缺陷导致的低尿酸血症。

Hypouricemia by defect in the tubular reabsorption.

作者信息

Barrientos A, Perez-Diaz V, Diaz-Gonzalez R, Rodicio J L

出版信息

Arch Intern Med. 1979 Jul;139(7):787-9.

PMID:454067
Abstract

Two patients with hypouricemia with high levels of uric acid in their urine were given pyrazinamide and probenecid. The uric acid clearance decreased to low or normal values after pyrazinamide administration. In both cases, probenecid produced a slight increment in the uric acid excretion. This type of response suggests a defect in the reabsorption component. It is tempting to speculate on a postsecretory reabsorption defect based on the results of pyrazinamide and probenecid tests.

摘要

两名低尿酸血症患者尿液中尿酸水平较高,给予了吡嗪酰胺和丙磺舒。服用吡嗪酰胺后,尿酸清除率降至低或正常水平。在这两种情况下,丙磺舒使尿酸排泄略有增加。这种反应类型提示重吸收成分存在缺陷。根据吡嗪酰胺和丙磺舒试验结果,很容易推测存在分泌后重吸收缺陷。

相似文献

1
Hypouricemia by defect in the tubular reabsorption.肾小管重吸收缺陷导致的低尿酸血症。
Arch Intern Med. 1979 Jul;139(7):787-9.
2
Hypouricemia due to renal tubular defect. A study with the probenecid-pyrazinamide test.肾小管缺陷所致低尿酸血症。丙磺舒-吡嗪酰胺试验研究。
Arch Intern Med. 1985 Jul;145(7):1200-3.
3
[Paraneoplastic hypouricemia in Hodgkin's lymphoma secondary to a renal tubular reabsorption defect of uric acid (author's transl)].
Med Clin (Barc). 1981 Apr 10;76(7):307-10.
4
Hypouricemia due to an increment in renal tubular urate secretion.由于肾小管尿酸分泌增加导致的低尿酸血症。
Arch Intern Med. 1982 Oct;142(10):1855-7.
5
Hypouricemia due to subtotal defect in the urate transport.由于尿酸盐转运存在部分缺陷导致的低尿酸血症。
Clin Nephrol. 1987 Dec;28(6):300-3.
6
Familial hypouricemia due to isolated renal tubular defect. Attenuated response of uric acid clearance to probenecid and pyrazinamide.
Nephron. 1977;18(4):220-5. doi: 10.1159/000180832.
7
Evidence for a postsecretory reabsorptive site for uric acid in man.人体尿酸分泌后重吸收部位的证据。
J Clin Invest. 1973 Jun;52(6):1491-9. doi: 10.1172/JCI107323.
8
Hypouricemia due to an isolated defect in renal tubular urate reabsorption.由于肾小管尿酸重吸收单独缺陷导致的低尿酸血症。
Clin Nephrol. 1980 Jan;13(1):44-8.
9
Diabetic renal hypouricemia.糖尿病性肾性低尿酸血症
Arch Intern Med. 1987 Feb;147(2):225-8.
10
Pharmacological evaluation of urate renal handling in humans: pyrazinamide test vs combined pyrazinamide and probenecid administration.人体尿酸肾脏处理的药理学评估:吡嗪酰胺试验与吡嗪酰胺和丙磺舒联合给药对比
Nephrol Dial Transplant. 1987;2(1):10-6.

引用本文的文献

1
Gout, uric acid and purine metabolism in paediatric nephrology.小儿肾脏病学中的痛风、尿酸与嘌呤代谢
Pediatr Nephrol. 1993 Feb;7(1):105-18. doi: 10.1007/BF00861588.
2
Hypouricemia and renal tubular acidosis in primary biliary cirrhosis.原发性胆汁性肝硬化中的低尿酸血症和肾小管酸中毒
Gastroenterol Jpn. 1985 Aug;20(4):374-9. doi: 10.1007/BF02774749.
3
Acute renal failure due to uric acid nephropathy in a patient with renal hypouricemia.一名患有肾性低尿酸血症的患者因尿酸肾病导致急性肾衰竭。
Klin Wochenschr. 1989 Mar 1;67(5):308-12. doi: 10.1007/BF01892900.