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[Microscopic hematuria in children]

L Cataldi1, V Fanos

  • 1Istituto di Clinica Pediatrica, Università Cattolica del S. Cuore, Roma, Italia.

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|September 23, 1998
PubMed
Summary
This summary is machine-generated.

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Hematuria, or blood in urine, affects 1-2% of people. Investigating microscopic hematuria in children involves tests like urinalysis and blood work, with renal biopsy as a last resort.

Area of Science:

  • Pediatric Nephrology
  • Clinical Diagnostics

Context:

  • Hematuria is a common urinalysis finding, affecting 1-2% of the population.
  • Screening for hematuria in children remains a debated topic in pediatric nephrology.
  • Identifying the source of bleeding (glomerular vs. non-glomerular) is crucial once hematuria is detected.

Purpose:

  • To outline the diagnostic pathway for microscopic hematuria in children.
  • To detail the recommended investigations following the identification of hematuria.
  • To establish criteria for proceeding to renal biopsy when initial tests are inconclusive.

Summary:

  • Microscopic hematuria investigations include hypercalciuria screening, blood tests (CBC, renal function, complement, autoantibodies), renal ultrasound, and family urinalysis.
  • An audiogram may be indicated if there's a family history of deafness or positive family member dipstick tests.

Related Experiment Videos

  • Persistent microscopic hematuria, after negative initial investigations, warrants a renal biopsy.

    • Impact:

    • Provides a structured approach to diagnosing pediatric hematuria, potentially reducing unnecessary investigations.
    • Aids clinicians in identifying the etiology of hematuria, guiding appropriate management strategies.
    • Highlights the role of renal biopsy in diagnosing persistent, unexplained microscopic hematuria in pediatric cases.