Renal hypouricemia complicated with kidney stone: a case report

Renal hypouricemia (RHUC) is a rare autosomal recessive disorder characterized by impaired renal tubular uric acid reabsorption and abnormally high uric acid clearance, which may be manifested by reduced serum uric acid (SUA) levels and elevated fractional excretion of uric acid (FE-UA >10%)....

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Main Authors: Yuhao Yang, Xingyu Mu, Zengxiang Wu, Zhenmei An, Shuangqing Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1218232/full
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author Yuhao Yang
Xingyu Mu
Zengxiang Wu
Zhenmei An
Shuangqing Li
author_facet Yuhao Yang
Xingyu Mu
Zengxiang Wu
Zhenmei An
Shuangqing Li
author_sort Yuhao Yang
collection DOAJ
description Renal hypouricemia (RHUC) is a rare autosomal recessive disorder characterized by impaired renal tubular uric acid reabsorption and abnormally high uric acid clearance, which may be manifested by reduced serum uric acid (SUA) levels and elevated fractional excretion of uric acid (FE-UA >10%). Most RHUC patients are often asymptomatic or have accidentally decreased SUA levels during health examinations, while others develop kidney stones and exercise-induced acute kidney injury (EIAKI). We now report a case of RHUC complicated with an asymptomatic kidney stone, and we identified a heterozygous mutation of c.269G > A (p.R90H) and a novel heterozygous mutation of c.674C > G (p.T225R) in the SLC22A12 gene in the patient through whole exon gene detection (NGS method). This case offers valuable insights into the mechanisms, clinical management, and prognosis of RHUC and its associated complications.
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spelling doaj.art-75ebf1d9ec4243118b8023deeb2244382024-02-07T04:22:25ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-02-011110.3389/fmed.2024.12182321218232Renal hypouricemia complicated with kidney stone: a case reportYuhao Yang0Xingyu Mu1Zengxiang Wu2Zhenmei An3Shuangqing Li4General Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaGeneral Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaGeneral Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, ChinaGeneral Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaRenal hypouricemia (RHUC) is a rare autosomal recessive disorder characterized by impaired renal tubular uric acid reabsorption and abnormally high uric acid clearance, which may be manifested by reduced serum uric acid (SUA) levels and elevated fractional excretion of uric acid (FE-UA >10%). Most RHUC patients are often asymptomatic or have accidentally decreased SUA levels during health examinations, while others develop kidney stones and exercise-induced acute kidney injury (EIAKI). We now report a case of RHUC complicated with an asymptomatic kidney stone, and we identified a heterozygous mutation of c.269G > A (p.R90H) and a novel heterozygous mutation of c.674C > G (p.T225R) in the SLC22A12 gene in the patient through whole exon gene detection (NGS method). This case offers valuable insights into the mechanisms, clinical management, and prognosis of RHUC and its associated complications.https://www.frontiersin.org/articles/10.3389/fmed.2024.1218232/fullrenal hypouricemiaSLC22A12mutationasymptomatic kidney stonesnext-generation sequencing
spellingShingle Yuhao Yang
Xingyu Mu
Zengxiang Wu
Zhenmei An
Shuangqing Li
Renal hypouricemia complicated with kidney stone: a case report
Frontiers in Medicine
renal hypouricemia
SLC22A12
mutation
asymptomatic kidney stones
next-generation sequencing
title Renal hypouricemia complicated with kidney stone: a case report
title_full Renal hypouricemia complicated with kidney stone: a case report
title_fullStr Renal hypouricemia complicated with kidney stone: a case report
title_full_unstemmed Renal hypouricemia complicated with kidney stone: a case report
title_short Renal hypouricemia complicated with kidney stone: a case report
title_sort renal hypouricemia complicated with kidney stone a case report
topic renal hypouricemia
SLC22A12
mutation
asymptomatic kidney stones
next-generation sequencing
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1218232/full
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AT zengxiangwu renalhypouricemiacomplicatedwithkidneystoneacasereport
AT zhenmeian renalhypouricemiacomplicatedwithkidneystoneacasereport
AT shuangqingli renalhypouricemiacomplicatedwithkidneystoneacasereport