Diagnostic Value of Dysmorphic Urinary Red Cells
To the Editor: Dr. Saad's photomicrographs of dysmorphic urinary erythrocytes (Images in Clinical Medicine, May 30 issue), 1 although beautiful, are dangerously misleading. Dysmorphic cells do not represent glomerular bleeding, as the legend implies. They can be produced as a result of kidney b...
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| Veröffentlicht in: | The New England journal of medicine 1996-10, Vol.335 (17), p.1323-1323 |
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| container_title | The New England journal of medicine |
| container_volume | 335 |
| creator | Györy, A Z |
| description | To the Editor:
Dr. Saad's photomicrographs of dysmorphic urinary erythrocytes (Images in Clinical Medicine, May 30 issue),
1
although beautiful, are dangerously misleading. Dysmorphic cells do not represent glomerular bleeding, as the legend implies. They can be produced as a result of kidney biopsies
2
and are therefore not necessarily of glomerular origin. Renal tumors can also be expected to produce dysmorphic hematuria. By assuming that a finding of dysmorphic red cells rules out all causes of hematuria other than glomerulonephritis, one could miss a renal tumor.
Dr. Saad replies:
To the Editor:
Dr. Györy correctly notes that dysmorphic urinary erythrocytes may . . . |
| doi_str_mv | 10.1056/NEJM199610243351715 |
| format | Article |
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Dr. Saad's photomicrographs of dysmorphic urinary erythrocytes (Images in Clinical Medicine, May 30 issue),
1
although beautiful, are dangerously misleading. Dysmorphic cells do not represent glomerular bleeding, as the legend implies. They can be produced as a result of kidney biopsies
2
and are therefore not necessarily of glomerular origin. Renal tumors can also be expected to produce dysmorphic hematuria. By assuming that a finding of dysmorphic red cells rules out all causes of hematuria other than glomerulonephritis, one could miss a renal tumor.
Dr. Saad replies:
To the Editor:
Dr. Györy correctly notes that dysmorphic urinary erythrocytes may . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199610243351715</identifier><identifier>PMID: 8992335</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Erythrocytes - pathology ; Glomerulonephritis, IGA - complications ; Glomerulonephritis, IGA - diagnosis ; Hematuria - etiology ; Humans ; Sensitivity and Specificity</subject><ispartof>The New England journal of medicine, 1996-10, Vol.335 (17), p.1323-1323</ispartof><rights>Copyright © 1996 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-30e537d95dd55331cffd3562f2448bf99674449fe06797166f8d8d8c20eaacad3</citedby><cites>FETCH-LOGICAL-c375t-30e537d95dd55331cffd3562f2448bf99674449fe06797166f8d8d8c20eaacad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199610243351715$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM199610243351715$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,780,784,2758,2759,26102,27923,27924,52381,54063,64386</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8992335$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Györy, A Z</creatorcontrib><title>Diagnostic Value of Dysmorphic Urinary Red Cells</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>To the Editor:
Dr. Saad's photomicrographs of dysmorphic urinary erythrocytes (Images in Clinical Medicine, May 30 issue),
1
although beautiful, are dangerously misleading. Dysmorphic cells do not represent glomerular bleeding, as the legend implies. They can be produced as a result of kidney biopsies
2
and are therefore not necessarily of glomerular origin. Renal tumors can also be expected to produce dysmorphic hematuria. By assuming that a finding of dysmorphic red cells rules out all causes of hematuria other than glomerulonephritis, one could miss a renal tumor.
Dr. Saad replies:
To the Editor:
Dr. Györy correctly notes that dysmorphic urinary erythrocytes may . . .</description><subject>Erythrocytes - pathology</subject><subject>Glomerulonephritis, IGA - complications</subject><subject>Glomerulonephritis, IGA - diagnosis</subject><subject>Hematuria - etiology</subject><subject>Humans</subject><subject>Sensitivity and Specificity</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UMtKAzEUDaLUWv0CEWblpowmk9dkKW19URXEug1pHjplMlOTmUX_3sgUV-K9iwv3PDgcAM4RvEKQsuvnxeMTEoIhWBCMKeKIHoAxohjnhEB2CMYQFmVOuMDH4CTGDUyDiBiBUSlEkSRjAOeV-mja2FU6e1d1b7PWZfNd9G3YfqbfKlSNCrvs1ZpsZus6noIjp-poz_Z3Ala3i7fZfb58uXuY3SxzjTntcgwtxdwIagxNgZB2zmDKClcQUq5dSs0JIcJZyLjgiDFXmrS6gFYprQyegMvBdxvar97GTvoq6pRANbbto-Ql5iyJExEPRB3aGIN1chsqnzJLBOVPT_KPnpLqYm_fr701v5p9MQmfDrj3UTZ24_91-wb7T22B</recordid><startdate>19961024</startdate><enddate>19961024</enddate><creator>Györy, A Z</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19961024</creationdate><title>Diagnostic Value of Dysmorphic Urinary Red Cells</title><author>Györy, A Z</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-30e537d95dd55331cffd3562f2448bf99674449fe06797166f8d8d8c20eaacad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Erythrocytes - pathology</topic><topic>Glomerulonephritis, IGA - complications</topic><topic>Glomerulonephritis, IGA - diagnosis</topic><topic>Hematuria - etiology</topic><topic>Humans</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Györy, A Z</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Györy, A Z</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic Value of Dysmorphic Urinary Red Cells</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>1996-10-24</date><risdate>1996</risdate><volume>335</volume><issue>17</issue><spage>1323</spage><epage>1323</epage><pages>1323-1323</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>To the Editor:
Dr. Saad's photomicrographs of dysmorphic urinary erythrocytes (Images in Clinical Medicine, May 30 issue),
1
although beautiful, are dangerously misleading. Dysmorphic cells do not represent glomerular bleeding, as the legend implies. They can be produced as a result of kidney biopsies
2
and are therefore not necessarily of glomerular origin. Renal tumors can also be expected to produce dysmorphic hematuria. By assuming that a finding of dysmorphic red cells rules out all causes of hematuria other than glomerulonephritis, one could miss a renal tumor.
Dr. Saad replies:
To the Editor:
Dr. Györy correctly notes that dysmorphic urinary erythrocytes may . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>8992335</pmid><doi>10.1056/NEJM199610243351715</doi><tpages>1</tpages></addata></record> |
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| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 1996-10, Vol.335 (17), p.1323-1323 |
| issn | 0028-4793 1533-4406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78376067 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
| subjects | Erythrocytes - pathology Glomerulonephritis, IGA - complications Glomerulonephritis, IGA - diagnosis Hematuria - etiology Humans Sensitivity and Specificity |
| title | Diagnostic Value of Dysmorphic Urinary Red Cells |
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