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Asymptomatic haematuria in children
1Apollo Indraprastha Hospital, New Delhi.
Journal of the Indian Medical Association
|September 11, 2002
Summary
Asymptomatic haematuria in children is often benign. Careful evaluation can rule out serious conditions, allowing for observation in most cases of isolated haematuria.
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:
- 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.
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