[Recurrent hematuria in children: study of 250 cases].
In order to analyse the etiology of recurrent hematuria in childhood, we studied 250 children, referred to our Service (age: 6 mo-17 ys; 102 female and 148 male). They were submitted to the following protocol: urine analyses, uroculture, serum total and fraction complement, electrophoresis of hemoglobin, serum creatinine, BUN, 24h urinary calcium, uric acid and protein, oral calcium load test in children with hypercalciuria (UCa greater than 4mg/kg/day). Radiological evaluation and renal percutaneous biopsy was performed when necessary. The following diagnostic distribution was obtained: Alport syndrome, 19; Berger disease, 15; other glomerulopathies, 45; hypercalciuria, 67; uric acid hyperexcretion, 10; nephrolithiasis, 27; urinary tract infection, 14; renal malformation, 8; no diagnosis, 43. Based in these results, we conclude that appropriate investigation on recurrent hematuria, leads to determination of etiology in over 80% of cases.
Perrone
H C
HC
de Moya
L
L
Martini Filho
D
D
de Moura
L A
LA
de Mello
V R
VR
Schor
N
N
Toporovski
J
J
D000293:Adolescent; D002118:Calcium / Q000652:urine; D002648:Child; D002675:Child, Preschool; D004912:Erythrocytes / Q000648:ultrastructure; D005260:Female; D006417:Hematuria / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007223:Infant; D007669:Kidney Calculi / Q000150:complications; D008297:Male; D008858:Microscopy, Phase-Contrast; D014527:Uric Acid / Q000652:urine
D014527:Uric Acid; D002118:Calcium
Hematúria recorrente na infância: estudo de 250 casos.