Çocukluk Çağı Hematüri Olgularında Etiyolojik Nedenlerin İncelenmesi

Authors : Mehmet Emre ARI, Sare Gülfem ÖZLÜ, Gülay DEMİRCİN, Aysun ÇALTIK YILMAZ, Özlem AYDOĞ, Mehmet BÜLBÜL

Pages : 480-487

Doi:10.12956/tchd.597567

View : 45 | Download : 8

Publication Date : 2020-11-30

Article Type : Research Paper

Abstract :Background: Hematuria is an important and common sign of urinary system diseases in children. Careful assessment is needed for definitive diagnosis and appropriate management. In this study we aimed to investigate the demographic and clinical characteristics of patients who were admitted to our pediatric nephrology clinic with hematuria and to determine the features that will guide the diagnosis. Methods: Medical charts of 370 patients who were referred to our clinic in a period of four years with gross or microscopic hematuria were evaluated retrospectively. Demographical data, clinical and laboratory findings, imaging modalities and diagnosis of the patients were investigated. Findings: Of the patients 195 insert ignore into journalissuearticles values(52.7 %); were boys and 175 insert ignore into journalissuearticles values(47.3%); were girls and the majority of the patients were in the age group of 6-10 years. Major presenting feature was red colored urine insert ignore into journalissuearticles values(64.1 %);. Non-glomerular causes were found to be significantly higher among patients with macroscopic hematuria insert ignore into journalissuearticles values(p=0.002);. Acute poststreptococcal glomerulonephritis formed the majority of  glomerular hematuria and urinary system infections formed the majority of non-glomerular hematuria causes respectively. Conclusions: This study suggests that a careful history, detailed physical examination and clinical evaluation may elucidate the etiology in the majority of the patients with hematuria. Advanced imaging modalities and renal biopsy are indicated only in selected cases.
Keywords : children, hematuria, etiology

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