Original Articles
Demographic, Clinical and Etiological profile of patients with Paediatric Haematuria; A Prospective observational study | |
Subal Kumar Pradhan, Deepanwita Routray, Bharat Bhusan Satpathy, Subhashree Kar, Lipsa Priyadarshini | |
Background: Haematuria is a scary symptom for both parents and treating paediatrician. Although red urine is quite common but diseases producing haematuria have quite unique set of presentations and requires relevant investigations to detect particular etiology. Aim :We planned to evaluate the demographic, clinical and etiological profile of patients admitted with haematuria(both gross and microscopic) in children from 1mo to 14 yrs in a tertiary care hospital attached to a medical college. Methods: This prospective observational study was conducted at a tertiary care paediatrics center attached to a medical college in eastern India. All patients ,1 mo to 14yr presenting with haematuria are included for observation. Result: The study revealed majority of the population had gross haematuria (N= 51, 69.8%) and rest of the children were found with microscopic haematuria (N= 22, 30.1%). Glomerular cause (n-40, 54.79%)was more prevalent in comparison to non glomerular cause(n-33, 45.29%). Most common etiology amongst glomerular haematuria was PIGN(n-13, 17.8% of total) and UTI (n-16, 21.9% of total) was found to be the most common etiology in non-glomerular causes. In both gross and microscopic type glomerular etiology was found to be the most common cause followed by UTI in both, renal calculus was found to be the 3rd most common cause in gross haematuria. 17(23.3%) cases presented with recurrent haematuria. Renal calculus was the most common etiology found in recurrent haematuria cases. Conclusion-Majority of children admitted with haematuria are of gross type, with glomerular pathology was found to be the major cause for which a planned follow up is the need of the hour. Amongst glomerular causes Post infectious glomerulonephritis and amongst non glomerular cause UTI(E. Coli) was the major cause of haematuria in our set up, which signifies infection being an important issue in our part of the world. Renal calculus found as 3rd MC cause of gross haematuria, also most common cause of recurrent haematuria. |
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