{"id":12084,"date":"2025-07-25T09:59:57","date_gmt":"2025-07-25T13:59:57","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/hypercalciuria\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"hipercalciuria","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/hipercalciuria\/","title":{"rendered":"Hipercalciuria"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[],"class_list":["post-12084","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-conditions"],"acf":{"gt-definition":"La hipercalciuria es un trastorno metab\u00f3lico caracterizado por una excreci\u00f3n excesiva de calcio en la orina, lo que aumenta significativamente el riesgo de formaci\u00f3n de c\u00e1lculos renales de calcio.<span class=\"citation\">1<\/span> Se considera el factor de riesgo metab\u00f3lico identificable m\u00e1s frecuente de la nefrolitiasis c\u00e1lcica, ya que representa aproximadamente el 50% de los casos.<span class=\"citation\">1<\/span> El trastorno puede definirse de varias maneras: tradicionalmente, como una excreci\u00f3n urinaria de calcio superior a 275 mg\/d\u00eda en los hombres y a 250 mg\/d\u00eda en las mujeres; como una excreci\u00f3n superior a 4 mg\/kg de peso corporal al d\u00eda; o como una concentraci\u00f3n urinaria de calcio superior a 200 mg\/L.<span class=\"citation\">2<\/span> La hipercalciuria tambi\u00e9n contribuye a la desmineralizaci\u00f3n \u00f3sea, lo que conduce a una disminuci\u00f3n de la densidad mineral \u00f3sea, osteopenia y, potencialmente, osteoporosis.<span class=\"citation\">3<\/span> La fisiopatolog\u00eda var\u00eda seg\u00fan el tipo: la hipercalciuria absortiva (aumento de la absorci\u00f3n intestinal de calcio) es la m\u00e1s frecuente, seguida de la hipercalciuria por fuga renal (defecto de la reabsorci\u00f3n tubular renal de calcio), la hipercalciuria por fuga renal de fosfato y la hipercalciuria resortiva (habitualmente debida a hiperparatiroidismo).<span class=\"citation\">1<\/span>","gt-synonyms":"Hipercalciuria idiop\u00e1tica, hiperexcreci\u00f3n de calcio, calcio urinario excesivo, fuga de calcio renal, hipercalciuria absortiva, hipercalciuria de resorci\u00f3n, hipercalciuria por p\u00e9rdida renal de fosfato","gt-citation":"[1] Leslie SW, Sajjad H. Hypercalciuria. [Updated 2024 Feb 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK448183\/\n\n[2] Coe FL, Worcester EM, Evan AP. Idiopathic hypercalciuria and formation of calcium renal stones. Nat Rev Nephrol. 2016 Sep;12(9):519-33. doi: 10.1038\/nrneph.2016.101. Epub 2016 Jul 25. PMID: 27452364; PMCID: PMC5837277.\n\n[3] Hypercalciuria: Practice Essentials, Background, Pathophysiology. Medscape. Updated: May 19, 2023. Available from: https:\/\/emedicine.medscape.com\/article\/2182757-overview","gt-clinical-context":"La hipercalciuria tiene relevancia cl\u00ednica en dos contextos principales: como factor de riesgo importante para la formaci\u00f3n de c\u00e1lculos renales y como factor que contribuye a la desmineralizaci\u00f3n \u00f3sea.<span class=\"citation\">1<\/span> Los c\u00e1lculos renales de calcio (oxalato de calcio y fosfato de calcio) representan aproximadamente el 85% de todos los c\u00e1lculos renales, y la hipercalciuria es la causa m\u00e1s importante de los c\u00e1lculos renales de calcio idiop\u00e1ticos.<span class=\"citation\">1<\/span> La selecci\u00f3n de pacientes para la evaluaci\u00f3n suele incluir a aquellos con c\u00e1lculos renales recurrentes, hematuria sin causa aparente o problemas de densidad \u00f3sea.<span class=\"citation\">3<\/span> Los procedimientos diagn\u00f3sticos incluyen la recolecci\u00f3n de orina de 24 horas para medir la excreci\u00f3n de calcio, la determinaci\u00f3n de las concentraciones s\u00e9ricas de calcio y de hormona paratiroidea y, en ocasiones, pruebas de sobrecarga de calcio para determinar el tipo espec\u00edfico de hipercalciuria.<span class=\"citation\">2<\/span> Los enfoques terap\u00e9uticos var\u00edan seg\u00fan el tipo, pero en general incluyen modificaciones diet\u00e9ticas (ingesta normal de calcio de unos 1000-1200 mg\/d\u00eda en lugar de su restricci\u00f3n, reducci\u00f3n del sodio y de las prote\u00ednas animales, y aumento de la ingesta de l\u00edquidos) e intervenciones farmacol\u00f3gicas como los diur\u00e9ticos tiaz\u00eddicos, que potencian la reabsorci\u00f3n renal de calcio.<span class=\"citation\">3<\/span> Los resultados esperados incluyen una menor formaci\u00f3n de c\u00e1lculos y la estabilizaci\u00f3n de la densidad mineral \u00f3sea, aunque habitualmente se requiere un tratamiento a largo plazo.<span class=\"citation\">1<\/span> En los pacientes pedi\u00e1tricos, la hipercalciuria puede manifestarse con hematuria, dolor abdominal y s\u00edntomas urinarios incluso sin formaci\u00f3n de c\u00e1lculos, lo que exige criterios diagn\u00f3sticos espec\u00edficos para la edad.<span class=\"citation\">1<\/span>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":88},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Hipercalciuria: Excessive Urinary Calcium &amp; Kidney Stone...<\/title>\n<meta name=\"description\" content=\"La hipercalciuria es la eliminaci\u00f3n excesiva de calcio en la orina, siendo uno de los principales factores de riesgo para la formaci\u00f3n de litiasis renal.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rigicon.com\/es\/glossary-term\/hipercalciuria\/\" \/>\n<meta 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