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A review on hematuria in children
Sarel Halachmi1, David Kakiashvili, Shimon Meretyk
1Department of Urology, Rambam Medical Center, Faculty of Medicine, Technion-Israel Institute of Technology, POB 9602, Haifa, Israel. s_halachmi@rambam.health.gov.il
Insights
Asymptomatic hematuria is common in children. This review covers major causes and provides an evaluation algorithm for pediatric urologists to diagnose blood in urine in young patients.
Area of Science:
- Pediatric Urology
- Nephrology
- Internal Medicine
Background:
- Asymptomatic hematuria is a frequent finding in pediatric and adolescent populations.
- The diagnostic approach for pediatric hematuria differs significantly from that in adults.
- Understanding the unique causes and investigations is crucial for effective management.
Purpose of the Study:
- To outline the primary diseases causing hematuria in children.
- To propose a systematic evaluation algorithm for pediatric urologists.
- To aid in the accurate diagnosis and management of pediatric hematuria.
Main Methods:
- Review of major diseases causing hematuria in pediatric patients.
- Development of a diagnostic algorithm tailored for pediatric urology.
- Synthesis of current literature on pediatric hematuria investigation.
Main Results:
- Identification of key conditions leading to hematuria in children.
- Presentation of a structured approach for evaluating pediatric hematuria.
- Emphasis on the distinct differential diagnoses in the pediatric population.
Conclusions:
- A clear diagnostic pathway is essential for managing asymptomatic hematuria in children.
- The proposed algorithm assists pediatric urologists in efficient and accurate diagnosis.
- Timely evaluation can lead to better outcomes for pediatric patients with hematuria.
Abstract:
Asymptomatic hematuria is very common in pediatric and adolescent patients. In contrast to painless hematuria in adults, 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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