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Spivacow FR et al. – Metabolic abnormalities were found in 91% of young adults with renal lithiasis, similar to our adult series. Hypercalciuria was the most frequent metabolic abnormality found. Yet, hypocitraturia (alone or in combination) was very frequent, and in the subgroup of patients of 17–20 years, it was as frequent as idiopathic hypercalciuria, similar to what we found in children.

Exclusive Author Commentary
Armando L. Negri, 08/06/09

It seems that the younger the patient with renal stones the higher the probability of finding hypocitraturia as the underlying metabolic abnormality present. Even in children, the highest probability is for children less than 10 years of age compared to those older than 10 years of age.

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