Dissolution of bilateral staghorn cystine renal calculi.
Bilateral staghorn renal calculi in a 7-year-old girl with cystinuria were dissolved over a period of 6 months, using a high fluid intake, urinary alkalinisation, and D-penicillamine. Even in children with extensive cystine urolithiasis, medical management may avert the need for surgery.
D002648:Child; D003555:Cystinuria / Q000150:complications / Q000188:drug therapy*; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007669:Kidney Calculi / Q000188:drug therapy* / Q000209:etiology; D010396:Penicillamine / Q000627:therapeutic use*; D013644:Tartrates / Q000627:therapeutic use; D014556:Urine
D013644:Tartrates; D010396:Penicillamine