Bai Ming-Jian, Yang Song-Tao, Liu Xue-Kai
Department of Clinical Laboratory, Aerospace Center Hospital, Beijing 100049, China.
Department of Nephrology, Aerospace Center Hospital, Beijing 100049, China.
World J Clin Cases. 2024 Feb 16;12(5):1025-1028. doi: 10.12998/wjcc.v12.i5.1025.
A man experienced multiple episodes of macroscopic hematuria following nocturnal exercise. Urinary stones and tumors were considered the two most likely causes. The patient had two hobbies: Consuming health care products in large quantities and engaging in late-night running.
Health care products contain a large amount of calcium phosphate, and we hypothesize that this could induce the formation of small phosphate stones. After exercise, the urinary system is abraded, resulting in bleeding. The patient was advised to stop using the health care products. Consequently, the aforementioned symptoms disappeared immediately. However, the patient resumed the above two habits one year later; correspondingly, the macroscopic hematuria reappeared.
This finding further confirmed the above inference and allowed for a new avenue to determine the cause of the patient's hematuria.
一名男性在夜间锻炼后经历了多次肉眼血尿发作。尿路结石和肿瘤被认为是两个最可能的原因。该患者有两个爱好：大量食用保健品和进行夜跑。
保健品含有大量磷酸钙，我们推测这可能会诱发小的磷酸盐结石形成。运动后，泌尿系统受到磨损，导致出血。建议患者停止使用保健品。结果，上述症状立即消失。然而，患者一年后恢复了上述两种习惯；相应地，肉眼血尿再次出现。
这一发现进一步证实了上述推断，并为确定患者血尿原因提供了一条新途径。
