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Marickar YMF – Cystinuria is a rare entity in South India. It, however, exists in a small percentage of stone patients. Specific treatment with d–penicillamine was not administered to the patients in view of the high cost, nonavailability and possible toxicity. The patients considered above did not have intractable stone disease which was not amenable to usual modalities of directed medical therapy.


Exclusive Author Commentary
Y. M. Fazil Marickar, 09/29/09

Cystine stones are known to be problems for the clinicians treating and preventing stone formation. However the experience in South India idicates that the metabolic disorder is very infrequent in this part of the world. The reason for this observation is not forthcoming. Hopefully such a mapping for regions with low cystine stone incidence in other parts of the world would improve knowledge on stone formation.

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