A virtuous diagnostic and therapeutic roadmap triggered by a motivated and skilful urinary sediment examination

Clin Chim Acta. 2019 May:492:23-25. doi: 10.1016/j.cca.2019.01.026. Epub 2019 Jan 30.

Abstract

In this paper we describe how an accurate urinary sediment examination, which revealed the presence of a severe 2,8-dihydroxyadenine crystalluria, opened the way to an articulate and successful diagnostic and therapeutic roadmap for a rare and potentially severe renal disease.

Keywords: 2,8- dihydroxyadenine; Adenine phosphoribosyltransferase deficiency; Crystalluria; Urinalysis; Urinary crystals; Urinary sediment.

Publication types

  • Letter

MeSH terms

  • Adenine / analogs & derivatives
  • Adenine / urine
  • Humans
  • Kidney Diseases / urine
  • Urinalysis*
  • Urologic Diseases / urine

Substances

  • 2,8-dihydroxyadenine
  • Adenine