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Nephrol Dial Transplant (2004) 19: 1907-1909
Nephrol Dial Transplant Vol. 19 No. 7 © ERA-EDTA 2004; all rights reserved


Case Report

An unusual type of crystalluria (appearing only once every 130 years?)

Giovanni B. Fogazzi1, Silvia Baroni2, Giuseppe Garigali1 and Michel Daudon3

1 Research Laboratory on Urine, Divisione di Nefrologia, Ospedale Maggiore, IRCCS, Milano, 2 Laboratorio di Chimica Clinica, Università Cattolica del Sacro Cuore Policlinico ‘A. Gemelli’, Roma, Italy and 3 Laboratoire de Biochimie A, Hôpital Necker, Paris, France

Correspondence and offprint requests to: Giovanni B. Fogazzi, Divisione di Nefrologia, Ospedale Maggiore, IRCCS, Via Commenda 15, I-20122 Milano, Italy. Email: fogazzi@policlinico.mi.it

Keywords: calcium carbonate crystals; crystalluria; infrared spectroscopy; urinary sediment

The first 10% of the full text of this article appears below.



   Introduction
 
The correct approach for the identification of urinary crystals is based on the knowledge of: (i) the morphological features of the crystals; (ii) the pH of the urine in which the crystals are found; and (iii) the birefringence features under polarized light. Only for selected cases, more sophisticated techniques such as infrared spectroscopy are required [1,2].

Herein we describe a very unusual crystalluria and the steps we took to identify the nature of such crystals.



   Case
 
On March 25, 2003 a very unusual crystalluria was found in the laboratory of Clinical Chemistry of Policlinico ‘A.Gemelli’ of Rome.

Crystals, which . . . [Full Text of this Article]

Steps undertaken to identify the nature of the unknown crystals

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