[Macrohematuria in children and adolescents]. / Makrohämaturie im Kindes- und Jugendalter.
Urologie
; 63(2): 149-157, 2024 Feb.
Article
en De
| MEDLINE
| ID: mdl-38117295
ABSTRACT
Hematuria is usually only noticed early in the case of macrohematuria. In around half of affected children, macrohematuria is caused by a urinary tract infection. In all other cases, a careful diagnosis is required. In addition to a detailed medical history, this builds upon a precise examination of the urine (microscopy, quantitative determination of proteinuria [mg albumin/g creatinine in spontaneously voided urine]) and measurement of blood pressure. The work-up usually includes sonography as the primary imaging modality. Invasive diagnostic tests using cystoscopy are only necessary in exceptional cases. If there is evidence of glomerulonephritis, a kidney biopsy may be indicated. Careful attention should be given to persisting microhematuria (>â¯6 months) and Alport syndrome should be confirmed or ruled out. Heterozygotic Alport syndrome can also be a possible cause of chronic renal failure.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Glomerulonefritis
/
Fallo Renal Crónico
/
Nefritis Hereditaria
Límite:
Adolescent
/
Child
/
Humans
Idioma:
De
Revista:
Urologie
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Alemania