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Urinary microscopy in the diagnosis of haematuria in schönlein-henoch purpura

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Abstract

A 5.5-year-old boy with Schönlein-Henoch purpura presented flank pain, macroscopic haematuria and voiding of blood clots. Radiologic examination showed a stenosing ureteritis. Treatment with prednisone was accompanied by resolution of the urologic manifestations.

Ureteritis is a potentially serious complication of Schönlein-Henoch purpura and its incidence is probably under-estimated. Less than half of the reported patients have had symptoms suggesting a urologic complication. Microscopic examination of the urinary sediment can be helpful for the precocious diagnosis of ureteritis in the Schönlein-Henoch purpura.

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Abbreviations

SHP:

Schönlein-Henoch purpura

IVP:

excretory urogram

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Authors and Affiliations

  1. Pediatric Department of the University, Pavia, Italy

    A. Martini & A. Ravelli

  2. Pediatric Radiodiagnosis Section, IRCCS “Policlinico S. Matteo”, Pavia, Italy

    G. Beluffi

Authors
  1. A. Martini
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  2. A. Ravelli
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  3. G. Beluffi
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Martini, A., Ravelli, A. & Beluffi, G. Urinary microscopy in the diagnosis of haematuria in schönlein-henoch purpura. Eur J Pediatr 144, 591–593 (1986). https://doi.org/10.1007/BF00496044

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  • DOI: https://doi.org/10.1007/BF00496044

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