1. Tecnologia, competenza e collaborazione con i clinici sono elementi chiave per la diagnosi di cistinuria.
- Author
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De Angelis, Stefano, Aita, Ada, Filosofo, Mario, and Falda, Alessandra
- Subjects
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SEDIMENT analysis , *URINALYSIS , *MEDICAL personnel , *HOSPITAL emergency services , *PATHOLOGICAL laboratories , *WEIGHT loss , *MORNING sickness - Abstract
Cystinuria is one of the unrecognized causes of nephrolithiasis. As other stones, cystine stones can present with flank pain, haematuria, dysuria, as well as systemic symptoms such as nausea and vomiting. This report describes the case of a 36-years-old pregnant woman, admitted at Emergency Department for severe vomiting and weight loss (6 kilograms in one month), soon after being treated for hyperemesis gravidarum. Failure of response to conventional management prompted further clinical and laboratory investigations. Urinary sediment analysis by automated analyser and intelligent verification rules, allowed to highlight cysteine casts, recognized by well trained staff. Cooperation between laboratory staff and clinicians allowed diagnosing cystinuria and starting therapy with vomiting remission. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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