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Asymptomatic haematuria in children.

R N Srivastava1

  • 1Apollo Indraprastha Hospital, New Delhi.

Journal of the Indian Medical Association
|September 11, 2002
PubMed
Summary
This summary is machine-generated.

Asymptomatic haematuria in children is often benign. Careful evaluation can rule out serious conditions, allowing for observation in most cases of isolated haematuria.

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Area of Science:

  • Pediatric Nephrology
  • Urology

Background:

  • Asymptomatic haematuria is a common finding in pediatric patients.
  • Isolated haematuria is generally less concerning than when accompanied by proteinuria.

Purpose of the Study:

  • To outline the diagnostic approach and management of asymptomatic haematuria in children and adolescents.
  • To differentiate benign causes from potentially serious underlying conditions.

Main Methods:

  • Review of clinical presentation and diagnostic workup for haematuria.
  • Differential diagnosis including urinary tract infections, hypercalciuria, and structural abnormalities.
  • Consideration for advanced investigations like renal biopsy in specific cases.

Main Results:

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  • Isolated haematuria, even if gross, often does not require extensive investigation.
  • Proteinuria accompanying haematuria suggests glomerulonephritis, potentially requiring renal biopsy.
  • Urinary tract infection, hypercalciuria, familial haematuria, and structural issues are key differential diagnoses.

    • Conclusions:

    • Most cases of asymptomatic isolated haematuria in pediatric patients can be managed conservatively after excluding significant pathology.
    • Advanced imaging and procedures are reserved for clearly indicated cases, particularly those with associated proteinuria or persistent symptoms.