title: [Loin pain haematuria syndrome].
abstract: BACKGROUND
  Loin pain haematuria syndrome is characterised by episodes of loin pain and microscopic or macroscopic haematuria, without a urological origin.
  
  
  METHODS
  We describe a 39-year-old woman who was referred to us because of microscopic haematuria and proteinuria without an apparent cause, which had been present for 20 years. For 9 months she had also had continuous loin pain, aggravated by exertion. Additional examination showed erythrocytes in the renal tubules and a thin glomerular basement membrane. We made the diagnosis of "loin pain haematuria syndrome based on thin basement membrane nephropathy".
  
  
  CONCLUSIONS
  Loin pain haematuria syndrome is a potentially debilitating disorder that is often poorly recognized due to the unfamiliarity of physicians with this condition. Treatment of patients with loin pain haematuria syndrome consists of patient education, treatment with ACE inhibitors, pain medication and cognitive behavioural therapy. Renal artery denervation can be considered in cases of persistent, disabling pain.
authors.affiliation: Ziekenhuis Bronovo, afd. Interne Geneeskunde, Den Haag.
authors.forename: Tim J A
authors.initials: TJ
authors.lastname: Dekker
authors.forename: Kirsten V C
authors.initials: KV
authors.lastname: Wevers-De Boer
authors.forename: Yvo W J
authors.initials: YW
authors.lastname: Sijpkens
mesh_terms: D000328:Adult; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D003714:Denervation; D005260:Female; D006417:Hematuria / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D010146:Pain / Q000175:diagnosis / Q000209:etiology; D011507:Proteinuria / Q000175:diagnosis* / Q000209:etiology
chemical_list: D000806:Angiotensin-Converting Enzyme Inhibitors