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BioScientifica, Endocrinology, Diabetes and Metabolism Case Reports, (2013), 2013

DOI: 10.1530/edm-13-0001

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Vanishing hypercalciuric kidney stones after treating underlying acromegaly

Journal article published in 2013 by Eline van der Valk ORCID, Tom Tobe, Aline Stades, Alex Muller
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Summary A 53-year-old male presented with recurrent calcium oxalate kidney stones as a first sign of underlying acromegaly, which vanished when his acromegaly was controlled. The exact mechanism behind hypercalciuria and urolithiasis in acromegaly is not yet clear. By discussing this case, a short overview of the pathophysiology of hypercalciuria in acromegaly and practical insights are given. Learning points Hypercalciuria is a common finding in acromegaly. There are only few reports describing hypercalciuric kidney stones in acromegaly. We assume that in acromegaly there is a primary role of IGF1-mediated, PTH-independent increase in calcitriol synthesis resulting in hypercalciuric kidney stones.