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Hipoüriseminin Muhtemel Nedeni; Ksantinüri

Yıl 2019, Cilt: 10 Sayı: 36, 25 - 26, 26.03.2019
https://doi.org/10.17944/mkutfd.494816

Öz

Kalıtımsal hipoürisemiye genellikle ksantinüri ve herediter renal hipoürisemi yol açmaktadır. Hipoürisemi serum ürik asit seviyesinin 2mg/dl’den düşük olması olarak tanımlanmaktadır. Ksantinüri her yaşta, nadir görülen ve otozomal resesif geçen bir hatalıktır. Ksantin ve hipoksantin, enzim veya kofaktör eksikliği sonucu ürik asite dönüşümü olmaz ve kanda birikir, ayrıca idrar ile atılımı artar. Serum ve idrarda ürik asit seviyesi çok düşük saptanmaktadır. Biz bu makalede,hipoürisemi saptanan ve ksantinüri tanısı konulan yetmiş yediyaşında kadınhasta litaratüreşliğinde tartışıldı.

Kaynakça

  • Grases F, Costa-Bauza A, Roig J, Rodriguez A. Xanthine urolithiasis: Inhibitors of xanthine crystallization. bioRxiv, 2018;335364.
  • Sebesta I, Stiburkova B, Krijt J. Hereditary xanthinuria is not so rare disorder of purine metabolism. Nucleosides Nucleotides Nucleic Acids. 2018; 3:1-5.
  • Raivio KO, Saksela M, Lapatto R. Xanthine oxidoreductase: role in human pathophysiology and in hereditary xanthinuria. In: Scriver CR, Beaudest AL, Sly WS, Valle D (Edds) The methabolic and molecular bases of inheredited diseases, 8th edn. New York. McGraw-Hill, 2001;2639-52.
  • Mraz M, Hurba O, Bartl J, Dolezel Z, Marinaki A, Fairbanks L, Stiburkova B. Modern diagnostic approach to hereditary xanthinuria. Urolithiasis, 2015;43(1), 61-67.;
  • Simmonds HA. Hereditary xanthinuria. Orphanet Encyclopedia. 2003.
  • Jurecka A, Stiburkova B, Krijt J, Gradowska W, Tylki-Szymanska A.Xanthine dehydrogenase deficiency with novel sequence variations presenting as rheumatoid arthritis in a 78-year-old patient.J Inherit Metab Dis. 2010;33(3):S21-4
  • Mraz M, Hurba O, Bartl J, Dolezel Z, Marinaki A, Fairbanks L, Stiburkova B. Modern diagnostic approach to hereditary xanthinuria.Urolithiasis. 2015;43(1):61-7.
  • Martín, N. Esparza, and V. García Nieto. “Hypouricemia and tubular transport of uric acid.” Nefrologia 2011;31(1):44-50

The Probable Cause of Hypouricemia; Xanthinuria

Yıl 2019, Cilt: 10 Sayı: 36, 25 - 26, 26.03.2019
https://doi.org/10.17944/mkutfd.494816

Öz

Xanthinuria and hereditary renal hypouricemia usually leads to hereditary hypouricemia. Hypouricemia is defined as having serum uric acid level lower than 2 ml/dl. Xanthinuria is an autosomal recessive disease that can be occasionally seen in all ages. As a result of enzyme or cofactor deficiency, xanthine and hypoxanthine do not convert to uric acid and accumulate in the blood and increase the excretion in urine. The level of uric acid is detected very low either in serum or in urine. In this study, a case of a seventy-seven-year-old female patient in which hypouricemia was detected and who had the diagnosis of xanthinuria was discussed.

Kaynakça

  • Grases F, Costa-Bauza A, Roig J, Rodriguez A. Xanthine urolithiasis: Inhibitors of xanthine crystallization. bioRxiv, 2018;335364.
  • Sebesta I, Stiburkova B, Krijt J. Hereditary xanthinuria is not so rare disorder of purine metabolism. Nucleosides Nucleotides Nucleic Acids. 2018; 3:1-5.
  • Raivio KO, Saksela M, Lapatto R. Xanthine oxidoreductase: role in human pathophysiology and in hereditary xanthinuria. In: Scriver CR, Beaudest AL, Sly WS, Valle D (Edds) The methabolic and molecular bases of inheredited diseases, 8th edn. New York. McGraw-Hill, 2001;2639-52.
  • Mraz M, Hurba O, Bartl J, Dolezel Z, Marinaki A, Fairbanks L, Stiburkova B. Modern diagnostic approach to hereditary xanthinuria. Urolithiasis, 2015;43(1), 61-67.;
  • Simmonds HA. Hereditary xanthinuria. Orphanet Encyclopedia. 2003.
  • Jurecka A, Stiburkova B, Krijt J, Gradowska W, Tylki-Szymanska A.Xanthine dehydrogenase deficiency with novel sequence variations presenting as rheumatoid arthritis in a 78-year-old patient.J Inherit Metab Dis. 2010;33(3):S21-4
  • Mraz M, Hurba O, Bartl J, Dolezel Z, Marinaki A, Fairbanks L, Stiburkova B. Modern diagnostic approach to hereditary xanthinuria.Urolithiasis. 2015;43(1):61-7.
  • Martín, N. Esparza, and V. García Nieto. “Hypouricemia and tubular transport of uric acid.” Nefrologia 2011;31(1):44-50
Toplam 8 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Case Report
Yazarlar

Can Hüzmeli 0000-0002-5499-4886

Kazım Öztürk Bu kişi benim 0000-0002-2612-885X

Murat Güllü Bu kişi benim 0000-0001-8267-0427

Yılmaz Canım Bu kişi benim 0000-0002-9303-1484

Edip Uçar Bu kişi benim 0000-0002-0294-3526

Ferhan Candan Bu kişi benim 0000-0002-6648-6053

Yayımlanma Tarihi 26 Mart 2019
Gönderilme Tarihi 10 Aralık 2018
Kabul Tarihi 5 Mart 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 10 Sayı: 36

Kaynak Göster

Vancouver Hüzmeli C, Öztürk K, Güllü M, Canım Y, Uçar E, Candan F. Hipoüriseminin Muhtemel Nedeni; Ksantinüri. mkutfd. 2019;10(36):25-6.