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[Recurrent hematuria in children]

R Dumas, P Baldet, S Bascoul

    Archives Francaises De Pediatrie
    |August 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

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    Recurrent macroscopic hematuria in children can stem from various kidney disorders, including Berger's disease and hereditary nephritis like Alport's syndrome. Early diagnosis and understanding the underlying cause are crucial for managing these conditions.

    Area of Science:

    • Pediatric Nephrology
    • Glomerular Diseases
    • Hereditary Kidney Diseases

    Background:

    • Recurrent macroscopic hematuria is a significant clinical presentation in pediatric nephrology.
    • Identifying the underlying etiology is crucial for prognosis and management.
    • Previous studies have highlighted various causes, but a comprehensive overview in a pediatric cohort is valuable.

    Purpose of the Study:

    • To investigate the diverse causes of recurrent macroscopic hematuria in a cohort of 23 children.
    • To characterize the clinical and pathological findings associated with different kidney disorders.
    • To differentiate between acquired and hereditary causes of hematuria.

    Main Methods:

    • Clinical observation of 23 children with recurrent macroscopic hematuria.

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  • Light microscopy for glomerular lesions.
  • Immunofluorescence for mesangial deposits (IgG, IgA).
  • Electron microscopy for basement membrane abnormalities.
  • Family history assessment for hereditary nephritis.
  • Main Results:

    • Six children had Berger's disease (IgA nephropathy) with hematuria post-infection.
    • Ten children exhibited hereditary nephritis, including Alport's syndrome (5 cases) and isolated hereditary nephritis (5 cases).
    • Electron microscopy confirmed Alport's syndrome and showed less severe basement membrane changes in isolated hereditary nephritis.
    • Seven children had no specific etiology identified.

    Conclusions:

    • Recurrent macroscopic hematuria in children can be attributed to IgA nephropathy, hereditary nephritis (including Alport's syndrome), or idiopathic causes.
    • Infection-triggered hematuria suggests Berger's disease, while family history and specific ultrastructural findings point to hereditary nephritis.
    • Further investigation is warranted for cases with no clear etiology.