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Re: hypocalciuria in hipertensive disordersFrom: Luis Sanchez-Ramos (luis.sanchez@jax.ufl.edu)Mon Feb 28 08:16:13 2000
At Sun, 27 Feb 2000, Ronnie Martinez Brignardello wrote: >>...what is the real value of knowing....the calciuria in the management of PHD<< Marked hypocalciuria is characteristic of preeclampsia. Every study that has evaluated urinary calcium excretion has shown a significant reduction in excretion. To me it has the same value as serum uric acid. it helps with the diagnosis in cases that are no "clear cut" or atypical. If you're interested, I will recommend you rea a couple of my papers on urianry calcium excretion in preeclampsia. Phyllis August was the first to note this finding (N Engl J Med). We and several other authors have confirmed it. No, not many people utilize it and I don't know why. We order it routinely on all patients who undergo 24-hr urine collections in cases of PIH. It has helped me tremendously. LSR
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