One-year follow-up of patients with melamine-induced urolithiasis in Southwest China

Int J Environ Health Res. 2012;22(5):450-7. doi: 10.1080/09603123.2011.650157. Epub 2012 Jan 10.

Abstract

In 2008, more than 290,000 children suffered from urinary tract stones with a history of consuming melamine-contaminated powdered formula in China. Little was known about the long-term follow-up of outcomes of these patients in southwest China, so we conducted one-year follow-up investigation for further study. Thirty-six of 51 inpatients with melamine-induced urolithiasis were enrolled in this study. After 12 months follow-up, none of the children had vomiting, oliguria, gross hematuria, or fever. Twenty-seven patients were stone free, stones decreased in size in six patients and increased in three. Serum total protein, albumin, and pre-albumin increased significantly from baseline to 12 months, and renal function remained normal. Melamine-induced urolithiasis could not lead renal dysfunction at 12 months follow-up. The results of our study indicated that more attention should be paid to the prevention of protein malnutrition in children with a history of consuming melamine-contaminated food products.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood Chemical Analysis
  • Child
  • Child, Preschool
  • China
  • Female
  • Follow-Up Studies
  • Food Contamination*
  • Humans
  • Infant
  • Infant Formula / chemistry*
  • Kidney / diagnostic imaging
  • Kidney / pathology
  • Male
  • Triazines / toxicity*
  • Ultrasonography
  • Urinalysis
  • Urolithiasis / chemically induced*
  • Urolithiasis / diagnostic imaging*
  • Urolithiasis / pathology
  • Urolithiasis / therapy

Substances

  • Triazines
  • melamine