Sbabir Ahmed, Waqar Hussain, Muhammad Saeed Anwar.
Factors Associated With Haematuria in Children.
Proceeding Shaikh Zayed Postgrad Med Comp Jan ;22(1):15-8.

Background: Haematuria is a common problem in pediatric clinical practice. It may be due to multiple causes. Timely diagnosis of this problem may be helpful in prevention of serious and progressive conditions. Objective: To identify the factors in children with haematuria in age group 1-14 years. Study design: Cross sectional study. Place and duration: Department of pediatrics, Shaikh Zayed Hospital, Lahore September 2006 to March 2007. Subject and methods: All the patients with haematuria were included in the study. Haematuria was defined as presence of more than 5 red blood cells/HPF. Detailed clinical data was collected. Urine microscopy was performed after centrifugation of the urine. Other relevant investigations were performed depending upon the clinical data. The results were then tabulated and analyzed statistically. Results: Majority of the patients were male (54.66%) and in the age group 1-5 years (40%) and 6-10 years (30.66%). The main presenting complaint was fever (54.66%), followed by red/cola color urine (41.33%) and peri orbital swelling (37.33%). Oedema was observed in 37.33% and hypertension in 41.33% patients. Complications were seen in 20(26.66%) patients. These included hypertension, acute renal failure, nephrotic syndrome and end stage renal disease .Haematuria with protein uria was found in 30.66 % and elevation of BUN/Creatinine in 42.66% patients. It was observed that out of 75 patients, 4 had SLE, 8 had renal stone, 3 had Henoch Schonlein purpura, 17 had urinary tract infection, and 27 had post streptococcal glomerulonephritis. Conclusion: The present study shows that a large number of patients with haematuria had treatable underlying cause. Therefore urine should be tested routinely in pediatrics patients for haematuria and investigated further as required.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com