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Article
Is the Cut off Limit of Normal Uric Acid & Calcium in Tropical Countries Different?
Author(s)
Divyanti Mishra and Vinod Kumar Mishra
Full-Text PDF XML 949 Views
DOI:10.17265/2328-7136/2017.05.008
Affiliation(s)
Kanpur Urology Centre, Kanpur 208012, India
ABSTRACT
Introduction: Nephrolithiasis is quite common in this part of the
world.In the metabolic workup Uric acid and Calcium assay are important.
Calcium & Uric acid lithiasis accounts for significant number of cases.
But, the values given as reference do not seem to apply in tropical countries
like India. We tried to analyse the values of Serum Calcium & Uric acid in
both normal healthy individuals and those with calculus disease in out patient department.
Material and methods: The study was conducted in outpatient department wherein
Serum Uric acid, Calcium & Phosphorus levels were assessed in fasting state
in all patients irrespective of age and sex in the period Jan. 2010- June 2015.
A total of 9887 patients with stone disease were kept in Group A and 8967
patients with other diseases in group B who acted as control, were enrolled for
the study. The demographic profile was recorded and associated metabolic disorders
were also documented. Patients with associated features of bony pains and gout
were also specified. Result: The Uric acid levels in the control group B were quite
lower than the reference values in either sex. However, the values were more
than 6 mg/dl in nephrolithiasis group A. The S.Calcium levels of control in
group B were significantly lower than the reference value and patients with
nephrolithiasis in group A also had hypocalcemia. Conclusion: Nephrolithiasis
is a metabolic disorder with majority of patients having higher Uric acid
levels with hypocalcemia in our population.The normal values in control group
is on the lower side of reference value which could be due to variation on
account of climatic, dietary and geographical factors. It needs broader studies
to redefine reference values of Uric acid and Calcium in tropical countries
like India.
KEYWORDS
Urolithiasis, uric acid, metabolic disorder, Calcium, gout, tropical countries hyperuricemia, hypocalcemia.
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