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[Hematuria in children]
Sarel Halachmi1, David Kakiashvili, Shimon Meretyk
1Department of Urology, Rambam Medical Center, Haifa, Israel. s_halachmi@rambam.health.gov.il
Harefuah
|February 3, 2006
Insights
Symptomatic hematuria (blood in urine) is common in children and adolescents. This article outlines key causes and an evaluation algorithm for pediatric urologists.
Area of Science:
- Pediatric Urology
- Nephrology
- Pediatric Hematology
Context:
- Symptomatic hematuria is a frequent clinical presentation in pediatric and adolescent patients.
- Diagnostic approaches for pediatric hematuria differ significantly from those in adults.
- Understanding these differences is crucial for accurate diagnosis and management.
Purpose:
- To present the major diseases causing hematuria in children.
- To suggest a structured evaluation algorithm for pediatric urologists.
- To aid in the differential diagnosis of pediatric hematuria.
Summary:
- This review covers prevalent pediatric conditions associated with hematuria.
- It emphasizes the distinct diagnostic considerations in the pediatric population compared to adults.
- A practical algorithm is proposed to guide the investigation of blood in urine in children.
Impact:
- Facilitates timely and accurate diagnosis of pediatric hematuria.
- Improves clinical decision-making for pediatric urologists and healthcare providers.
- Contributes to better patient outcomes by standardizing the diagnostic pathway.
Abstract:
A symptomatic hematuria is very common in pediatrics and adolescence. In contrast to painless adult hematuria, the differential diagnosis and investigative modalities in the pediatric population is vastly different. This article presents the major diseases that may cause hematuria in children and suggests an evaluation algorithm for the pediatric urologist.
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