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Title Establishing the diagnosis of benign familial hematuria: the importance of examining the urine sediment of family members
Creator/Author Blumenthal, S.S. ; Fritsche, C. ; Lemann, J. Jr
Publication Date1988 Apr 15
OSTI IdentifierOSTI ID: 7164825
Other Number(s)CODEN: JAMAA
Resource TypeJournal Article
Resource RelationJAMA, J. Am. Med. Assoc. ; Vol/Issue: 259:15
Research OrgMedical College of Wisconsin, Milwaukee (USA)
Subject550200 -- Biochemistry; HEREDITARY DISEASES-- PATHOGENESIS;UROGENITAL SYSTEM DISEASES-- PATHOGENESIS; AGE DEPENDENCE;BLOOD PRESSURE;ERYTHROCYTES;HEMOGLOBIN;HEMORRHAGE;PATIENTS;SEX DEPENDENCE;URINE;WISCONSIN
Related SubjectBIOLOGICAL MATERIALS;BIOLOGICAL WASTES;BLOOD;BLOOD CELLS;BODY FLUIDS;CARBOXYLIC ACIDS;DISEASES;FEDERAL REGION V;GLOBIN;HETEROCYCLIC ACIDS;HETEROCYCLIC COMPOUNDS;MATERIALS;NORTH AMERICA;ORGANIC ACIDS;ORGANIC COMPOUNDS;ORGANIC NITROGEN COMPOUNDS;PATHOLOGICAL CHANGES;PIGMENTS;PORPHYRINS;PROTEINS;SYMPTOMS;USA;WASTES
Description/Abstract Patients with microscopic hematuria are generally referred for urologic investigation.^The authors describe 30 patients with normal renal function referred to our clinic during the years 1970 through 1987 for evaluation of hematuria, usually microscopic, in whom prior urologic and radiological studies had failed to determine the cause of bleeding.^Urinary sediment from the patients and first-degree relatives revealed hemoglobin and red blood cell casts; the inheritance pattern was consistent with autosomal dominant transmission.^During follow-up for up to 18 years, renal function remained normal, thus confirming the diagnosis of benign familial hematuria.^Immunoglobulin A nephropathy and Alport`s syndrome were less common than benign familial hematuria and could be differentiated from it by history, physical examination, and routine laboratory testing.^Since benign familial hematuria is a common disorder in adults with hematuria and normal renal function, urinary sediment from patients and family members should be examined before extensive urologic and radiological procedures are performed.
Country of PublicationUnited States
LanguageEnglish
FormatPages: 2263-2266
System Entry Date2001 May 13

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