title: Role of routine urinalysis in asymptomatic pediatric patients.
abstract: This study was done to evaluate the spectrum of diagnoses and identify risk factors for significant kidney disease in asymptomatic children with proteinuria and/or microhematuria detected by routine urinalysis. Clinical and laboratory data were obtained by retrospective chart review of 239 patients referred to a tertiary care center. The predominant diagnosis in children with isolated microhematuria was hypercalciuria and with isolated proteinuria, orthostatic proteinuria. When microhematuria and proteinuria were present in combination, kidney disease was the predominant diagnosis. Urinalysis is a valuable tool to identify patients with kidney disease. The combination of microhematuria and proteinuria increases the risk of having significant kidney disease.
authors.affiliation: Department of Pediatrics, Division of Pediatric Nephrology, University of Miami/Jackson Children's Hospital, Miami, Florida 33101, USA.
authors.forename: Jayanthi
authors.initials: J
authors.lastname: Chandar
authors.forename: Orlando
authors.initials: O
authors.lastname: Gómez-Marín
authors.forename: Rolando
authors.initials: R
authors.lastname: del Pozo
authors.forename: Lee
authors.initials: L
authors.lastname: Sanders
authors.forename: Brenda
authors.initials: B
authors.lastname: Montane
authors.forename: Carolyn
authors.initials: C
authors.lastname: Abitbol
authors.forename: José
authors.initials: J
authors.lastname: Strauss
authors.forename: Gastón
authors.initials: G
authors.lastname: Zilleruelo
mesh_terms: D002648:Child; D003955:Diagnostic Tests, Routine; D005260:Female; D006417:Hematuria / Q000175:diagnosis; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis*; D008297:Male; D016017:Odds Ratio; D011507:Proteinuria / Q000175:diagnosis; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D016482:Urinalysis