Re: hypocalciuria in hipertensive disorders

From: Efrain Ramirez (eramirez@icepr.com)
Mon Feb 28 16:36:02 2000


I have always liked s. uric acid -- if it starts creeping up-- you have a time bomb - at least it has been my experience. At Mon, 28 Feb 2000, Luis Sanchez-Ramos wrote: >
>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

--
"The things you learn after you know everything are the important ones"




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