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Peer-reviewed veterinary case report

Dogs with genetic urate stones on a low purine diet for one year

By Westropp, Jodi L et al.·Published in BMC veterinary research·2017·Departments of Veterinary Medicine and Epidemiology, United States·View original on PubMed

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Original publication title: Evaluation of dogs with genetic hyperuricosuria and urate urolithiasis consuming a purine restricted diet: a pilot study.

Species:
dog

Plain-English summary

A group of dogs with a genetic condition causing high uric acid levels and a history of bladder stones were put on a special diet low in purines (a type of protein) for a year. The diet aimed to help reduce the formation of bladder stones. Most dogs had only mild urinary symptoms, and while some bladder stones were still present, the diet successfully lowered uric acid levels in their urine. Overall, the dogs seemed to tolerate the diet well, and it may be a helpful option for managing their condition.

People also search for: dog bladder stones diet · hyperuricosuria treatment for dogs · low purine diet for dogs

Abstract

BACKGROUND: Urate urolithiasis is a common problem in breed homozygous for the mutation that results in hyperuricosuria. Low purine diets have been recommended to reduce purine intake in these dogs. METHODS: A higher protein, purine restricted diet with water added was evaluated in dogs with genetic hyperuricosuria and a history of clinical urate urolithiasis over a one year time period. Dogs were evaluated at baseline and 2, 6, and 12&#xa0;months after initiating the test diet. Bloodwork, urinalysis, abdominal ultrasound, body composition, and 24-h urinary purine metabolite analyses were performed. RESULTS: Transient, mild, self-limited lower urinary tract signs were noted in only one dog on a single day, despite variable but usually mild and occasionally moderate amounts of echogenic bladder stones (<2-3&#xa0;mm in size) in almost every dog at each visit. No significant differences were noted in urine specific gravity, urine pH, lean body condition score or body composition. Urinary uric acid concentration was lower on the test diet (p&#x2009;=&#x2009;0.008), but 24-h uric acid excretions were similar (p&#x2009;=&#x2009;0.220) compared to baseline. Significant differences between least squares mean plasma amino acid concentrations measured at the 0 and 12-month visits were found only for valine (p&#x2009;=&#x2009;0.0119) and leucine (p&#x2009;=&#x2009;0.0017). CONCLUSION: This study suggests the use of a low purine, higher protein diet with added water may be beneficial as part of the management of dogs with genetic hyperuricosuria and history of clinical urate urolithiasis.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/28178975/