Vázquez Martul M, Daza A, Larrauri M, Sánchez J, Calvo C, Navarro M, Sánchez Bayle M
An Esp Pediatr. 1977 Oct;10(10):705-14.
Idiopathic hematuria is a clinical condition of unknown etiology; it is defined as persistent or recurrent, macro or microscopic hematuria in the absence of systemic or local disease and with normal renal function. Six patients who had these criterions were studied. There were all girls. The age of the first episode was between one and four years. There was no other family or personal history of renal disease or deafness. Only two patients had their episodes of macroscopic hematuria within flu-like illness or exercise. All had normal renal function and no proteinuria was found. Serum C'3 and C'4 were normal. Microscopic and immunofluorescence studies were negative. We remark the convenience of a triple criteria clinical, histopathologic and evolutive to select a patient into the "idiopathic hematuria" group. We comment the usefullness of renal biopsy in the investigation of unexplained hematuria.
特发性血尿是一种病因不明的临床病症;其定义为在无全身性或局部疾病且肾功能正常的情况下出现持续性或复发性肉眼或镜下血尿。对符合这些标准的6名患者进行了研究。她们均为女孩。首次发病年龄在1至4岁之间。无其他肾病或耳聋的家族史或个人史。只有两名患者在类似流感的疾病或运动期间出现肉眼血尿发作。所有患者肾功能均正常,未发现蛋白尿。血清C'3和C'4正常。显微镜检查和免疫荧光检查均为阴性。我们强调采用临床、组织病理学和病程演变的三重标准将患者纳入“特发性血尿”组的便利性。我们评论了肾活检在不明原因血尿调查中的实用性。