Long term prognosis of recurrent haematuria

A long term follow up study of 100 children referred with recurrent haematuria for at least one year to two regional paediatric nephrology units is described. The mean duration of follow up was 8.2 years. An adequate renal biopsy was obtained in 96 and eight cases of Alport's syndrome and 10 of...

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Veröffentlicht in:Archives of disease in childhood 1985-05, Vol.60 (5), p.420-425
Hauptverfasser: Miller, P F, Speirs, N I, Aparicio, S R, Lendon, M, Savage, J M, Postlethwaite, R J, Brocklebank, J T, Houston, I B, Meadow, S R
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container_end_page 425
container_issue 5
container_start_page 420
container_title Archives of disease in childhood
container_volume 60
creator Miller, P F
Speirs, N I
Aparicio, S R
Lendon, M
Savage, J M
Postlethwaite, R J
Brocklebank, J T
Houston, I B
Meadow, S R
description A long term follow up study of 100 children referred with recurrent haematuria for at least one year to two regional paediatric nephrology units is described. The mean duration of follow up was 8.2 years. An adequate renal biopsy was obtained in 96 and eight cases of Alport's syndrome and 10 of IgA nephropathy were diagnosed (20% and 26% respectively of the biopsies examined by electron microscopy and immunofluorescence). Five patients developed end stage renal failure and six hypertension requiring treatment, with the occurrence of these complications increasing progressively with increasing duration of follow up (1% at five years compared with 12% at 10 years). Adverse prognostic features were persistence of microscopic haematuria, proteinuria at presentation, and appreciable changes on renal biopsy. Eighty four patients had first degree relatives tested for haematuria; 30% of these families had another affected member. With long term follow up recurrent haematuria is associated with considerable morbidity and potential mortality.
doi_str_mv 10.1136/adc.60.5.420
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The mean duration of follow up was 8.2 years. An adequate renal biopsy was obtained in 96 and eight cases of Alport's syndrome and 10 of IgA nephropathy were diagnosed (20% and 26% respectively of the biopsies examined by electron microscopy and immunofluorescence). Five patients developed end stage renal failure and six hypertension requiring treatment, with the occurrence of these complications increasing progressively with increasing duration of follow up (1% at five years compared with 12% at 10 years). Adverse prognostic features were persistence of microscopic haematuria, proteinuria at presentation, and appreciable changes on renal biopsy. Eighty four patients had first degree relatives tested for haematuria; 30% of these families had another affected member. With long term follow up recurrent haematuria is associated with considerable morbidity and potential mortality.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/adc.60.5.420</identifier><identifier>PMID: 4015146</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Adolescent ; Biological and medical sciences ; Biopsy ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Hematuria - complications ; Hematuria - diagnosis ; Humans ; Hypertension ; Hypertension, Renal - etiology ; Infant ; Kidney - pathology ; Kidney Failure, Chronic - etiology ; Male ; Medical sciences ; Nephrology. Urinary tract diseases ; Prognosis ; Proteinuria - complications ; Recurrence ; Time Factors ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. Prostate gland</subject><ispartof>Archives of disease in childhood, 1985-05, Vol.60 (5), p.420-425</ispartof><rights>1985 INIST-CNRS</rights><rights>Copyright BMJ Publishing Group LTD May 1985</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b4210-59a7f9da608f78b246d6d1eb40ccce57110afcb88d78883e3b514cce0b4730ae3</citedby><cites>FETCH-LOGICAL-b4210-59a7f9da608f78b246d6d1eb40ccce57110afcb88d78883e3b514cce0b4730ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1777302/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1777302/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=9234013$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/4015146$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miller, P F</creatorcontrib><creatorcontrib>Speirs, N I</creatorcontrib><creatorcontrib>Aparicio, S R</creatorcontrib><creatorcontrib>Lendon, M</creatorcontrib><creatorcontrib>Savage, J M</creatorcontrib><creatorcontrib>Postlethwaite, R J</creatorcontrib><creatorcontrib>Brocklebank, J T</creatorcontrib><creatorcontrib>Houston, I B</creatorcontrib><creatorcontrib>Meadow, S R</creatorcontrib><title>Long term prognosis of recurrent haematuria</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>A long term follow up study of 100 children referred with recurrent haematuria for at least one year to two regional paediatric nephrology units is described. The mean duration of follow up was 8.2 years. An adequate renal biopsy was obtained in 96 and eight cases of Alport's syndrome and 10 of IgA nephropathy were diagnosed (20% and 26% respectively of the biopsies examined by electron microscopy and immunofluorescence). Five patients developed end stage renal failure and six hypertension requiring treatment, with the occurrence of these complications increasing progressively with increasing duration of follow up (1% at five years compared with 12% at 10 years). Adverse prognostic features were persistence of microscopic haematuria, proteinuria at presentation, and appreciable changes on renal biopsy. Eighty four patients had first degree relatives tested for haematuria; 30% of these families had another affected member. With long term follow up recurrent haematuria is associated with considerable morbidity and potential mortality.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hematuria - complications</subject><subject>Hematuria - diagnosis</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension, Renal - etiology</subject><subject>Infant</subject><subject>Kidney - pathology</subject><subject>Kidney Failure, Chronic - etiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Prognosis</subject><subject>Proteinuria - complications</subject><subject>Recurrence</subject><subject>Time Factors</subject><subject>Urinary system involvement in other diseases. 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Urinary tract diseases</topic><topic>Prognosis</topic><topic>Proteinuria - complications</topic><topic>Recurrence</topic><topic>Time Factors</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. 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The mean duration of follow up was 8.2 years. An adequate renal biopsy was obtained in 96 and eight cases of Alport's syndrome and 10 of IgA nephropathy were diagnosed (20% and 26% respectively of the biopsies examined by electron microscopy and immunofluorescence). Five patients developed end stage renal failure and six hypertension requiring treatment, with the occurrence of these complications increasing progressively with increasing duration of follow up (1% at five years compared with 12% at 10 years). Adverse prognostic features were persistence of microscopic haematuria, proteinuria at presentation, and appreciable changes on renal biopsy. Eighty four patients had first degree relatives tested for haematuria; 30% of these families had another affected member. 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subjects Adolescent
Biological and medical sciences
Biopsy
Child
Child, Preschool
Female
Follow-Up Studies
Hematuria - complications
Hematuria - diagnosis
Humans
Hypertension
Hypertension, Renal - etiology
Infant
Kidney - pathology
Kidney Failure, Chronic - etiology
Male
Medical sciences
Nephrology. Urinary tract diseases
Prognosis
Proteinuria - complications
Recurrence
Time Factors
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
title Long term prognosis of recurrent haematuria
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