Hypercalciuria: Common but Under-diagnosed Cause of Hematuria
Hypercalciuria has been found to be the cause of unexplained asymptomatic macroscopic or microscopic hematuria among children in a substantial number of cases. It is more common than post-strept glomerulonephritis / IgA nephropathy or any other structural abnormality. Children with asymptomatic he...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Liaquat National Hospital and Medical College
2023-04-01
|
| Series: | Liaquat National Journal of Primary Care |
| Subjects: | |
| Online Access: | https://journals.lnh.edu.pk/lnjpc/pdf/1ee86a95-a13b-436f-b6f6-a7733110774d.pdf |
| _version_ | 1828043453162848256 |
|---|---|
| author | Naila Asif Muhammad Rizwan |
| author_facet | Naila Asif Muhammad Rizwan |
| author_sort | Naila Asif |
| collection | DOAJ |
| description | Hypercalciuria has been found to be the cause of unexplained asymptomatic macroscopic or microscopic hematuria among children
in a substantial number of cases. It is more common than post-strept glomerulonephritis / IgA nephropathy or any other structural
abnormality. Children with asymptomatic hematuria should be investigated and correctly treated for hypercalciuric as it can be easily
misdiagnosed.
We report a case of hypercalciuria causing hematuria in a young teenager who was initially considered a case of glomerulonephritis.
The patient had isolated gross hematuria, and was suspected of the case of glomerulonephritis and was being treated with
immunosuppressants. The patient’s family considered a second opinion with us before the earlier advised renal biopsy. The patient
was found to have elevated urinary calcium causing hematuria. He was treated with diuretics, immunosuppressants were stopped
and along with dietary restrictions, the patient became asymptomatic. |
| first_indexed | 2024-04-10T17:41:49Z |
| format | Article |
| id | doaj.art-20cf0644ff1543dca61e8801361d47a7 |
| institution | Directory Open Access Journal |
| issn | 2707-3521 2708-9134 |
| language | English |
| last_indexed | 2024-04-10T17:41:49Z |
| publishDate | 2023-04-01 |
| publisher | Liaquat National Hospital and Medical College |
| record_format | Article |
| series | Liaquat National Journal of Primary Care |
| spelling | doaj.art-20cf0644ff1543dca61e8801361d47a72023-02-03T10:54:45ZengLiaquat National Hospital and Medical CollegeLiaquat National Journal of Primary Care2707-35212708-91342023-04-0151545610.37184/lnjpc.2707-3521.4.25Hypercalciuria: Common but Under-diagnosed Cause of HematuriaNaila Asif0Muhammad Rizwan1Department of Nephrology, Liaquat National Hospital and Medical College, Karachi, PakistanDepartment of Nephrology, Liaquat National Hospital and Medical College, Karachi, PakistanHypercalciuria has been found to be the cause of unexplained asymptomatic macroscopic or microscopic hematuria among children in a substantial number of cases. It is more common than post-strept glomerulonephritis / IgA nephropathy or any other structural abnormality. Children with asymptomatic hematuria should be investigated and correctly treated for hypercalciuric as it can be easily misdiagnosed. We report a case of hypercalciuria causing hematuria in a young teenager who was initially considered a case of glomerulonephritis. The patient had isolated gross hematuria, and was suspected of the case of glomerulonephritis and was being treated with immunosuppressants. The patient’s family considered a second opinion with us before the earlier advised renal biopsy. The patient was found to have elevated urinary calcium causing hematuria. He was treated with diuretics, immunosuppressants were stopped and along with dietary restrictions, the patient became asymptomatic.https://journals.lnh.edu.pk/lnjpc/pdf/1ee86a95-a13b-436f-b6f6-a7733110774d.pdfhypercalciuriahematuriaimmunosuppressantsred blood cells (rbcs)urinalysisglomerulonephritis (gn)deltacortilazathioprine |
| spellingShingle | Naila Asif Muhammad Rizwan Hypercalciuria: Common but Under-diagnosed Cause of Hematuria Liaquat National Journal of Primary Care hypercalciuria hematuria immunosuppressants red blood cells (rbcs) urinalysis glomerulonephritis (gn) deltacortil azathioprine |
| title | Hypercalciuria: Common but Under-diagnosed Cause of Hematuria |
| title_full | Hypercalciuria: Common but Under-diagnosed Cause of Hematuria |
| title_fullStr | Hypercalciuria: Common but Under-diagnosed Cause of Hematuria |
| title_full_unstemmed | Hypercalciuria: Common but Under-diagnosed Cause of Hematuria |
| title_short | Hypercalciuria: Common but Under-diagnosed Cause of Hematuria |
| title_sort | hypercalciuria common but under diagnosed cause of hematuria |
| topic | hypercalciuria hematuria immunosuppressants red blood cells (rbcs) urinalysis glomerulonephritis (gn) deltacortil azathioprine |
| url | https://journals.lnh.edu.pk/lnjpc/pdf/1ee86a95-a13b-436f-b6f6-a7733110774d.pdf |
| work_keys_str_mv | AT nailaasif hypercalciuriacommonbutunderdiagnosedcauseofhematuria AT muhammadrizwan hypercalciuriacommonbutunderdiagnosedcauseofhematuria |