Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, USA.
Pediatr Nephrol. 2009 Dec;24(12):2455-7. doi: 10.1007/s00467-009-1263-1. Epub 2009 Aug 11.
Patients with sickle cell disease commonly experience painless hematuria. Hematuria may be found in patients with sickle cell trait, sickle cell anemia, and sickle cell hemoglobin C disease, but it is believed to be uncommon in patients with other hemoglobinopathies, such as hemoglobin C disease and hemoglobin C trait. We report two cases of children with hemoglobin C trait who presented with persistent painless hematuria. Because it is possible that hematuria in a patient with hemoglobin C trait is purely coincidental, all patients with a hemoglobinopathy and hematuria should undergo a complete evaluation so as not to overlook other causes of hematuria.
镰状细胞病患者常出现无痛性血尿。镰状细胞特征、镰状细胞贫血和镰状细胞血红蛋白 C 病患者可出现血尿,但据信其他血红蛋白病(如血红蛋白 C 病和血红蛋白 C 特征)患者血尿不常见。我们报告了两例血红蛋白 C 特征的儿童持续性无痛性血尿。因为血红蛋白 C 特征患者的血尿可能纯属巧合,所以所有血红蛋白病和血尿患者均应进行全面评估,以免漏诊其他血尿原因。