혈뇨의 진단과 치료
Diagnosis and Treatment of Hematuria
3
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Hematuria is a common manifestation caused by various factors such as infection, inflammation, trauma, urinary stone and malignancy. Hematuria reflects pathological state of urinary system. Isolated microscopic hematuria without any abnormalities besides of hematuria on urine microscopic examination usually presents a good clinical course or outcome. However, significant proteinuria or hypertension, which accelerates renal dysfunction, can often develop during follow-up period in patients with isolated microscopic hematuria. Compared with non-glomerular hematuria, glomerular hematuria shows several characteristic findings such as dysmorphic red blood cell (RBC) or RBC casts or significant proteinuria on urinalysis. If glomerular hematuria is strongly suspected, a kidney biopsy may be required to differentiate the cause of glomerulonephritis. In this review, we tried to review the differential diagnosis and diagnostic approach and treatment of hematuria.
Abstract
Hematuria is a common manifestation caused by various factors such as infection, inflammation, trauma, urinary stone and malignancy. Hematuria reflects pathological state of urinary system. Isolated microscopic hematuria without any abnormalities besides of hematuria on urine microscopic examination usually presents a good clinical course or outcome. However, significant proteinuria or hypertension, which accelerates renal dysfunction, can often develop during follow-up period in patients with isolated microscopic hematuria. Compared with non-glomerular hematuria, glomerular hematuria shows several characteristic findings such as dysmorphic red blood cell (RBC) or RBC casts or significant proteinuria on urinalysis. If glomerular hematuria is strongly suspected, a kidney biopsy may be required to differentiate the cause of glomerulonephritis. In this review, we tried to review the differential diagnosis and diagnostic approach and treatment of hematuria.
참고문헌 (12)
- Barocas DA, "Microhematuria : AUA", SUFU euideline, 2020, pp.204, 778~786
- Lee SY, "Diagnostic approach to hematuria", Korean J Med, 79, pp.8~10 (2010)
- Tan WS, "Can renal and bladder ultrasound replace computerized tomography urogram in patients investigated for microscopic hematuria?", J Urol, 200, pp.973~980 (2018)
- Perazella MA, "The urine sediment as a biomarker of kidney disease", Am J Kidney Dis, 66, pp.748~755 (2015)
- "The Korean Society of Nephrology 2023 evidence-based clinical practice guideline for microscopic hematuria" (2023)[URL]
- Jeong SH, "Clinical guidelines for diagnosis of hematuria", J Korean Med Assoc, 66, pp.343~347 (2023)
- Tanaka H, "Isolated hematuria in adults : IgA nephropathy is a predominant cause of hematuria compared with thin glomerular basement membrane nephropathy", Am J Nephrol, 16, pp.412~416 (1996)
- Yamagata K, "A long-term follow-up study of asymptomatic hematuria and", or proteinuria in adults, 1996, pp.45, 281~288
- Kim BS, "Natural history and renal pathology in patients with isolated microscopic hematuria", Korean J Intern Med, 24, pp.356~361 (2009)
- Birmingham DJ, "Relationship between albuminuria and total proteinuria in systemic lupus erythematosus nephritis : diagnostic and therapeutic implications", Clin J Am Soc Nephrol, 3, pp.1028~1033 (2008)
- Hebert LA, "Differential diagnosis of glomerular disease : a systematic and inclusive approach", Am J Nephrol, 38, pp.253~266 (2013)
- Kidney Disease : Improving Global Outcomes(KDIGO)Glomerular Diseases Work Group, "KDIGO 2021 clinical practice guideline for the management of glomerular diseases", Kidney Int, 100, pp.S1~S276 (2021)