What happens in this disease?
A change in the AGXT gene disrupts an enzyme in the liver. Because of this, too much oxalate is made in the body. In the urine, oxalate combines with calcium and forms stones. When kidney function declines, oxalate also settles in tissues such as bones and blood vessels.
Which symptoms can occur?
Kidney stones can begin in childhood or at a young age. The course varies from person to person.
- Repeated kidney and bladder stones
- Blood in the urine
- Urinary tract infections
- Calcium deposits in the kidneys
- Decline in kidney function
- Bone fractures at a later stage
How is it diagnosed?
This disease is looked for in children who have stones or calcium deposits in the kidneys. Oxalate is measured in the urine and blood, and the make-up of the stone is examined. The definite diagnosis is made with a genetic test.
Treatment and care
There are approved treatments specific to the disease. These treatments reduce the making of oxalate in the liver. Drinking plenty of fluids reduces stone formation. In some patients, vitamin B6 supplements lower oxalate. Stones can be removed with minimally invasive methods. In kidney failure, dialysis or a liver and kidney transplant is considered. The doctor who follows the disease decides which treatment is suitable.
For the family: inheritance and genetic counselling
The disease is passed on through recessive inheritance. The mother and father are usually healthy carriers. For a couple who are both carriers, the chance of having an affected child is 1 in 4 in each pregnancy. Diseases of this kind may be more common in marriages between relatives. Genetic counselling guides the family.