Bollack C, Reinhardt W, Goldschmidt P, D'Ancona C
J Urol (Paris). 1981;87(4):231-3.
In Alsace, urate lithiasis accounts for 32.7% of cases of lithiasis requiring hospitalisation. Fifty nine per cent of patients are hyperuricaemic, and only 10% have typical gout. 14.6% are hyperuricosuric but all have isoaciduria. A male disorder in 3/4 cases, it occurs above all after the age of 50. The relatively late onset, combined with marked obesity (mean weight 81.5 kg) is considered by the authors to be an argument proving the role of dietary excesses in the aetiology of this lithiasis. Excessive protein would seem to be the essential feature.
在阿尔萨斯,尿酸盐结石占需住院治疗的结石病例的32.7%。59%的患者血尿酸过高,仅有10%患有典型痛风。14.6%的患者尿酸排泄过多,但均为等酸性尿。该疾病在四分之三的病例中为男性疾病,主要发生在50岁以后。作者认为,发病相对较晚,再加上明显肥胖(平均体重81.5千克),证明饮食过量在这种结石病病因中起作用。过量蛋白质似乎是主要特征。