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Stone chemistry & types

Stone types

Calcium oxalate > 80 %

Uric acid 5 – 10 %

Calcium phosphate 5 – 10 %

Struvite (magnesium ammonium phosphate) 2 – 3 %

Cystine 1 %

Rare – xanthine, 2-8,dihydroxyadenine, drug stones, ammonium acid urate

Stones are made of crystalline and non-crystalline components – the non-crystalline component is matrix which can occasionally make up the majority of the stone weight (around 2 % of stones)

Matrix is a heterogenous mixture of protein, sugars and organic ash.

 

Promoters Inhibitors
Calcium

Oxalate

Phosphate

Uric acid

Sodium

Citrate

Magnesium

Pyrophosphate

Glycosaminoglycans

Tamm-Horsfall protein

Nephrocalcin

 

*No inhibitors for uric acid stones

 

Stone associations or ‘causes’: