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ePublished: 05 Aug 2017
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J Renal Inj Prev. 2017;6(4): 289-291.
doi: 10.15171/jrip.2017.55

Scopus ID: 85040713232
  Abstract View: 1732
  PDF Download: 1093

Original Article

Outcome of children with isolated microscopic hematuria without renal biopsy

Abolhassan Seyedzadeh, Mohammad-Reza Tohidi * , Rahimpoor Amiry, Mohammad-Saleh Seyedzadeh, Sara Hookary

1 Urology and Nephrology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
*Corresponding author: Mohammd Reza Tohidi, Tohidimohamadreza@yahoo.com

Abstract

Introduction: Hematuria (presence of >5 RBCs/HPF) may be a transient outcome or indicator of significant renal disorder in children. Children with neither symptoms of a disease nor a physical abnormality who have microscopic hematuria should be placed in the category of isolated microscopic hematuria (IMH).

Objectives: The aim of this study was to evaluate the course of IMH.Patients and Methods: This investigation is an observational study of 124 patients referred to pediatric nephrology clinic from 2002-2012 with IMH.

Results: In this study, 124 patients, 40 (32.3%) female and 84 (67.8%) male were evaluated. The mean age was 5.6±2.4 years. The mean follow-up time was 14.3 ± 14.4 months. This mean for 45.2% of the patients, was less than 6 months and for 4% of the patients, it was more than 4 years. The reasons for discovering hematuria were; 66.1% after routine evaluation, 21.8% due to positive family history and 12.1% after urinary tract infection (UTI). In this study, all the laboratory tests and kidney function were normal, except for the presence of microscopic hematuria.

Conclusion: It was concluded that IMH without renal failure, hypertension (HTN) and proteinuria is a benign condition with no need for kidney biopsy.

Keywords: Hematuria, Proteinuria, Biopsy, Microscopic

Implication for health policy/practice/research/medical education:

We concluded that microscopic isolated hematuria without symptoms of renal failure, HTN and proteinuria is a benign condition with no need for kidney biopsy. However, the follow-up of these patients for signs and symptoms of renal impairment is strongly recommended.

Please cite this paper as: Seyedzadeh A, Tohidi MR, Amiry R, Seyedzadeh MS, Hookary S. Outcome of children with isolated microscopic hematuria without renal biopsy. J Renal Inj Prev. 2017;6(4):292-294. DOI: 10.15171/jrip.2017.56.

 

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