Urate metabolism in primary hyperparathyroidism.
Urate metabolism was studied in 40 patients with primary hyperparathyroidism (HPT), 20 of them had a history of renal stones. Preoperatively they had, compared to controls, a reduction of the clearance of urate and a rise of the serum urate concentrations. These disturbances were normalized postoperatively. HPT patients, in particular those with a history of stones, had a high urinary calcium excretion probably as a result of both increased bone resorption and intestinal calcium uptake. There was a close relationship between the urinary urate and calcium excretions preoperatively but not after surgery. There were no consistent differences with regard to urate metabolism in the stone-forming individuals with HPT as compared to those who had never formed a renal stone and thus it seems unlikely that disturbances of urate handling are of any particular importance for the well-known propensity to form stones in primary HPT.
D000328:Adult; D000368:Aged; D002118:Calcium / Q000378:metabolism; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000378:metabolism*; D007668:Kidney / Q000378:metabolism*; D007669:Kidney Calculi / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000601:surgery; D014527:Uric Acid / Q000378:metabolism*
D014527:Uric Acid; D002118:Calcium