What is your approach to managing patients with recurrent nephrolithiasis and hypercalciuria who develop sun photosensitivity following thiazide diuretic initiation?

Sun avoidance and/or protection are my first thoughts. Failing that, I would recommend more intense dietary modification, and look for other metabolic abnormalities amenable to pharmaceutical treatment. Treatment follow up is critically important, preferably with CT scanning, looking to see if there...