Urinary microscopy in the diagnosis of haematuria in Schönlein-Henoch purpura.
A 5.5-year-old boy with Schönlein-Henoch purpura presented flank pain, macroscopic haematuria and voiding of blood clots. Radiologic examination showed a stenosing ureteritis. Treatment with prednisone was accompanied by resolution of the urologic manifestations. Ureteritis is a potentially serious complication of Schönlein-Henoch purpura and its incidence is probably underestimated. Less than half of the reported patients have had symptoms suggesting a urologic complication. Microscopic examination of the urinary sediment can be helpful for the precocious diagnosis of ureteritis in the Schönlein-Henoch purpura.
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Martini
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Ravelli
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Beluffi
D000208:Acute Disease; D002675:Child, Preschool; D006417:Hematuria / Q000175:diagnosis*; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications*; D007249:Inflammation / Q000175:diagnosis; D008297:Male; D008853:Microscopy; D014515:Ureteral Diseases / Q000175:diagnosis; D014556:Urine / Q000166:cytology