Source:http://linkedlifedata.com/resource/pubmed/id/16397778
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2006-2-10
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pubmed:abstractText |
An unusual case with kidney stones composed mainly of 1-methyluric acid is described. The patient, a Caucasian male of Celtic descent, reportedly drank at least eight cups of coffee per day and had a long history of rheumatoid arthritis, gouty attacks and renal colics--the latter attributed to nephrocalcinosis and analgesic nephropathy. He was treated with allopurinol. At 54 years, a bilateral nephrolithotomy was performed. Stone samples were analysed by thermogravimetry and infrared spectroscopy and reported to be 12-25% calcium oxalate, the remainder being organic uric acid-like material. Analysis of the extracts by HPLC confirmed that the organic material contained 67% of 1-methyluric acid and 33% of uric acid. Possible mechanisms leading to the precipitation of 1-methyluric acid from urine are discussed. We conclude that the high caffeine intake resulted in extremely elevated urinary concentrations of 1-methyluric acid favouring the formation of 1-methyluric acid stones.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/1-methyluric acid,
http://linkedlifedata.com/resource/pubmed/chemical/Caffeine,
http://linkedlifedata.com/resource/pubmed/chemical/Central Nervous System Stimulants,
http://linkedlifedata.com/resource/pubmed/chemical/Coffee,
http://linkedlifedata.com/resource/pubmed/chemical/Uric Acid
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0300-5623
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
34
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
58-60
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:16397778-Adult,
pubmed-meshheading:16397778-Caffeine,
pubmed-meshheading:16397778-Central Nervous System Stimulants,
pubmed-meshheading:16397778-Coffee,
pubmed-meshheading:16397778-Humans,
pubmed-meshheading:16397778-Kidney Calculi,
pubmed-meshheading:16397778-Kidney Failure, Chronic,
pubmed-meshheading:16397778-Male,
pubmed-meshheading:16397778-Peritoneal Dialysis, Continuous Ambulatory,
pubmed-meshheading:16397778-Uric Acid
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pubmed:year |
2006
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pubmed:articleTitle |
An unusual patient with kidney stones composed of 1-methyluric acid.
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pubmed:affiliation |
Purine Research Unit, 5th Floor Thomas Guy House, Guy's Hospital, SE1 9RT, London Bridge, UK.
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pubmed:publicationType |
Journal Article,
Case Reports
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