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Time to Look the Other Way?

Arch Pediatr Adolesc Med. 2005;159:398-399.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hematuria has been a concern of physicians since antiquity because a number of genitourinary tract diseases and conditions, as well as systemic conditions with renal involvement, produce blood in the urine. Examination of the urine has been a time-honored tool to assist in the investigation of renal and urinary tract disorders, especially when cellular casts, protein, bacteria, and glucose also are present. In this issue of the ARCHIVES, Bergstein et al¹ report a large, uniformly studied group of children referred to a nephrology center with either microscopic or macroscopic hematuria. Their findings challenge the conventional recommendations for pursuing a diagnostic evaluation for persistent asymptomatic microscopic hematuria in otherwise healthy children. Perhaps it is time to step back and ask, "Should we evaluate hematuria?" rather than "How should we evaluate hematuria?"

To answer this question, one must ask whether we should look for microscopic hematuria in healthy children in . . . [Full Text of this Article]

AUTHOR INFORMATION

F. Bruder Stapleton, MD

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The Clinical Significance of Asymptomatic Gross and Microscopic Hematuria in Children
Jerry Bergstein, Jeffrey Leiser, and Sharon Andreoli
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