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Clinico-Etiologic Profile of Macroscopic Hematuria in Children: A Single Center Experience

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Abstract

Objective

To study the demographic, clinical and etiological profile of macroscopic hematuria in children presenting to a tertiary care hospital.

Methods

This prospective observational study, conducted between January, 2018 and December, 2019, enrolled children aged 3 months to 12 years, presenting with gross hematuria.

Results

Of the 62 children (44 males) enrolled, (mean (SD) age of 7.3 (2.6) years), glomerular hematuria was seen in 59.7%. Post-infectious glomerulonephritis was the commonest etiology of glomerular hematuria; hypercalciuria and renal calculi predominated among non-glomerular hematuria. After a median (IQR) follow up of 8 (6,14.2) months, microscopic hematuria persisted in 10 (7, glomerular hematuria) children. The median time to resolution of gross as well as microscopic hematuria tended to be longer in glomerular etiologies.

Conclusion

Majority of children with gross hematuria had glomerular etiologies, thus requiring monitoring and follow-up.

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Funding

Funding: None

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Authors and Affiliations

  1. Department of Pediatrics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, 110 031, India

    Kirtisudha Mishra, Manish Kumar, Ankita Patel & Komal Dattatrya Zanak

  2. Department of Pathology, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India

    Lavleen Singh

Authors
  1. Kirtisudha Mishra
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  2. Manish Kumar
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  3. Ankita Patel
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  4. Lavleen Singh
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  5. Komal Dattatrya Zanak
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Contributions

Contributors: KM conceived and planned the study with critical inputs from MK.AP and KDZ helped in collection of data under supervision of KM. LS was involved in supervising laboratory related investigations. KM analyzed the data and wrote the primary draft. All authors approved the final manuscript.

Corresponding author

Correspondence to Kirtisudha Mishra.

Ethics declarations

Ethics clearance: Institutional Ethics Committee, MAMC; No. F.1/IEC/MAMC/58/03/2017/No. 33, dated August 23, 2017.

Competing interests: None stated.

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Mishra, K., Kumar, M., Patel, A. et al. Clinico-Etiologic Profile of Macroscopic Hematuria in Children: A Single Center Experience. Indian Pediatr 59, 25–27 (2022). https://doi.org/10.1007/s13312-022-2414-8

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  • DOI: https://doi.org/10.1007/s13312-022-2414-8

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