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Clinico-Etiologic Profile of Macroscopic Hematuria in Children: A Single Center Experience
Kirtisudha Mishra1, Manish Kumar2, Ankita Patel2
1Department of Pediatrics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi. Correspondence to: Dr Kirtisudha Mishra, Associate Professor, Department of Pediatrics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 110 031. kirtisen@gmail.com.
Objective:
To study the demographic, clinical and etiological profile of macroscopic hematuria in children presenting to a tertiary care hospital.
Methods:
This prospective observational study, conducted between January, 2018 and December, 2019, enrolled children aged 3 months to 12 years, presenting with gross hematuria.
Results:
Of the 62 children (44 males) enrolled, (mean (SD) age of 7.3 (2.6) years), glomerular hematuria was seen in 59.7%. Post-infectious glomerulonephritis was the commonest etiology of glomerular hematuria; hypercalciuria and renal calculi predominated among non-glomerular hematuria. After a median (IQR) follow up of 8 (6,14.2) months, microscopic hematuria persisted in 10 (7, glomerular hematuria) children. The median time to resolution of gross as well as microscopic hematuria tended to be longer in glomerular etiologies.
Conclusion:
Majority of children with gross hematuria had glomerular etiologies, thus requiring monitoring and follow-up.
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