Salt Craving - Pediatric Oncall

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Childhood Ailments

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Question
My cousin just turned 18 years old. Since the age of 13, she has had 7 kidney stones. Each one of them gets worse and worse. Doctors have done several tests on her, but have been unable to come up with any answers. She also has several other symptoms. She started out with a dark spot (light brown, almost looks like a tan) on her elbow. She is very pale skinned, so this was noticeable right away. Over the years it has spread up her arm, halfway down her back and covers half of her stomach. She has a very low energy level. Craves salty foods and deals with depression and anxiety. Just before one her kidney stone episodes, something stressful has always been able to be traced back, such as finals at school, prom, etc. In researching some of her symptoms, we came across Addison's Disease. I know that this condition is rare, but I would like to know your thoughts and any advice you might be able to give us. Thank you,
Answer
She does have salt craving. Hence body salts need to be evaluated whether they are low. A serum electrolytes would be useful. If they are low, the cause should be evaluated whether there is loss in the kidneys by doing a urine electrolytes or whether there is an endocrine problem such as in the adrenals. Also since she has renal stones evaluation for the same in form of 24 hours urine quantification for calcium, uric acid and oxalate would help in finding the cause of the stone. She needs thorough evaluation by a pediatric nephrologist. Back to All Questions

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