Hypercalciuria, hypocitratura and ketogenic diet: stumbling over the same stone?

Pediatric chronic and complex patients are now frequently seen in Primary Health care. A seven years old patient, affected with epilepsy (West syndrome) who was on a ketogenic diet is discussed. This patient had mild hypercalciuria, that worsened with this diet. Hypercalciuria (idiopatic or secundary) is a frequent entity in pediatric patients. This article provides primary care pediatricians a practical handling of it.