Nephrocalcinosis is a disorder in which there is excess calcium deposited in the kidneys.
Any disorder that leads to high levels of calcium in the blood or urine may lead to nephrocalcinosis. In nephrocalcinosis, calcium deposits form in the kidney tissue itself. Most of the time, both kidneys are affected.
Nephrocalcinosis is related to, but not the same as, kidney stones (nephrolithiasis).
Conditions that can cause nephrocalcinosis include:
Other possible causes of nephrocalcinosis include:
This condition is relatively common in premature infants.
There are generally no early symptoms of nephrocalcinosis, beyond those of the condition causing the problem.
People who also have kidney stones may have:
Later symptoms related to nephrocalcinosis may be associated with chronic kidney failure.
Imaging tests can help diagnose this condition. Tests that may be done include:
Other tests that may be done to diagnose and determine the severity of associated disorders include:
The goal of treatment is to reduce symptoms and prevent more calcium from being deposited in the kidneys.
Measures should be taken to reduce abnormal levels of calcium, phosphate, and oxalate in the blood. Medications that cause calcium loss will usually be stopped.
Conditions that result from the disorder should be treated as appropriate.
Kidney stones should be treated.
What to expect depends on the extent of complications and the cause of the disorder.
Although further deposits in the kidneys can be prevented with good treatment, deposits already formed usually cannot be eliminated. Extensive deposits of calcium in the kidneys does NOT always mean severe damage to the kidneys.
Call your health care provider if you know you have a disorder that causes high levels of calcium in your blood and you develop symptoms of nephrocalcinosis.
Prompt treatment of disorders that lead to nephrocalcinosis, including renal tubular acidosis, may help prevent it from developing.
Monk RD, Bushinsky DA. Kidney Stones. In: Kronenberg HM, Melmed, S, Polonsky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008: chap 29.
Nephrolithiasis and nephrocalcinosis. In: Feehally J, Floege J, Johnson RJ, eds. Comprehensive Clinical Nephrology. 3rd ed. Philadelphia, Pa: Mosby Elsevier; 2007.
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