Kidney Research and Clinical Practice  2015;34(2):113-116

doi:10.1016/j.krcp.2014.09.006

A rare case of hyperoxaluria presenting with acute liver injury and stone-free kidney injury.

Si Eun KIM 1 ; Seon Jae KIM ; Seong Taek CHU ; Seung Hee YANG ; Yon Su KIM ; Ran Hui CHA

Affiliations

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Keywords

Acute kidney injury; Acute liver injury; Oxalate nephropathy

Country

Republic of Korea

Language

English

Abstract

A 49-year-old woman visited the clinic because of acute hepatitis and acute kidney injury with decreased urine output presenting microscopic hematuria and proteinuria. An abdominal computed tomography revealed a localized, hypoattenuated lesion in a hepatic lateral segment, and kidney biopsy showed oxalate crystal deposition with tubular necrosis. In addition, the patient's 24-hour urinary excretion of oxalate was increased. Her kidney and liver injury improved after sessions of hemodialysis, and urinary oxalate excretion was normalized. Major mutations in primary hyperoxaluria have not been proven. A full sequencing of target genes may be helpful to diagnose a rare form of primary hyperoxaluria.