PMID- 6645209 OWN - NLM STAT- MEDLINE DCOM- 19840127 LR - 20190725 IS - 0085-2538 (Print) IS - 0085-2538 (Linking) VI - 24 IP - 3 DP - 1983 Sep TI - Renal calcium handling in familial hypocalciuric hypercalcemia. PG - 353-7 AB - We have determined calcium and sodium excretion rates in three members of a kinship with familial hypocalciuric hypercalcemia (FHH) and in four patients with primary hyperparathyroidism (PHP) under control conditions and following the intravenous administration of chlorothiazide or furosemide. The characteristic hypocalciuria of FHH, evidenced by a significantly reduced urinary calcium/creatinine ratio compared with that of PHP, is present under control conditions (0.08 vs. 0.26 mg calcium/mg creatinine, respectively, P less than 0.05), and after chlorothiazide (0.14 vs. 0.53, respectively, P less than 0.01). However, after furosemide infusion the calcium/creatinine ratio is no longer lower in FHH than in PHP (1.12 vs. 1.14, respectively, P greater than 0.05). These data suggest that, in FHH, tubular calcium reabsorption is enhanced in the thick ascending limb of Henle's loop, the site of action of furosemide. However, the data do not exclude the presence of an abnormality at a more distal site in the nephron. FAU - Watanabe, H AU - Watanabe H FAU - Sutton, R A AU - Sutton RA LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Kidney Int JT - Kidney international JID - 0323470 RN - 77W477J15H (Chlorothiazide) RN - 7LXU5N7ZO5 (Furosemide) RN - 9NEZ333N27 (Sodium) RN - AYI8EX34EU (Creatinine) RN - SY7Q814VUP (Calcium) SB - IM MH - Adult MH - Aged MH - Calcium/*urine MH - Chlorothiazide/pharmacology MH - Creatinine/urine MH - Female MH - Furosemide/pharmacology MH - Humans MH - Hypercalcemia/genetics/physiopathology/*urine MH - Hyperparathyroidism/urine MH - Kidney/*physiopathology MH - Middle Aged MH - Sodium/urine EDAT- 1983/09/01 00:00 MHDA- 1983/09/01 00:01 CRDT- 1983/09/01 00:00 PHST- 1983/09/01 00:00 [pubmed] PHST- 1983/09/01 00:01 [medline] PHST- 1983/09/01 00:00 [entrez] AID - S0085-2538(15)33036-2 [pii] AID - 10.1038/ki.1983.166 [doi] PST - ppublish SO - Kidney Int. 1983 Sep;24(3):353-7. doi: 10.1038/ki.1983.166.