Renal insufficiency secondary to 2,8-dihydroxyadenine urolithiasis.

Abstract:

:A 48-year-old man with a history of recurrent urolithiasis and chronic renal failure underwent a nephrectomy for a renal mass. At surgery the mass proved to be a calculus impacted in a dilated calyx. Gross examination of the kidney revealed chalky white deposits in the deep medulla and papillary tips. Histologic examination revealed chronic interstitial nephritis with brown spicules within some tubular epithelial cells and larger deposits of brown crystals within tubular lumina, the interstitium of the medulla, and papillary tips. Polarization microscopy revealed individual crystals scattered throughout the renal parenchyma. Although the arrangement of the crystals was reminiscent of uric acid, and, in fact, a clinical diagnosis of gouty nephropathy was made, x-ray diffraction analysis demonstrated crystals of 2,8-dihydroxyadenine. Enzymatic studies confirmed the complete absence of adenine phosphoribosyltransferase activity in erythrocyte lysates.

journal_name

Hum Pathol

journal_title

Human pathology

authors

Gelb AB,Fye KH,Tischfield JA,Sahota AS,Sparks JW,Hancock DC,Sibley RK

doi

10.1016/0046-8177(92)90273-6

subject

Has Abstract

pub_date

1992-09-01 00:00:00

pages

1081-5

issue

9

eissn

0046-8177

issn

1532-8392

pii

0046-8177(92)90273-6

journal_volume

23

pub_type

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