Re: Melamine related bilateral renal calculi in 50 children: single center experience in clinical diagnosis and treatment. J. G. Wen, Z. Z. Li, H. Zhang, Y. Wang, R. F. Zhang, L. Yang, Y. Chen, J. X. Wang and S. J. Zhang J Urol 2010; 183: 1533-1538.

摘要

I read this report with great interest. The authors conclude that "melamine related urinary calculi were most often seen in patients 6 to 18 months old" and "conservative management has been sufficient in most cases." Indeed, melamine related nephropathy following the consumption of tainted milk is an interesting emerging issue. This work generates some observations. First, a problem with breastfeeding might be suspected, since patients at 6 months should receive only breast milk, not powdered milk. Also, the calculi described in this scenario are not a chronic urological obstructive problem as seen in general cases of renal calculi.