ヘモグロビン尿症、血色素尿症、ヘモグロビン尿、血色素尿
WordNet
- presence of hemoglobin in the urine (同)haemoglobinuria
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/12/21 10:10:44」(JST)
[Wiki en表示]
Hemoglobinuria |
Structure of hemoglobin
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Classification and external resources |
ICD-10 |
R82.3 |
ICD-9-CM |
283.2, 791.2 |
DiseasesDB |
19635 |
MeSH |
D006456 |
In medicine, hemoglobinuria or haemoglobinuria is a condition in which the oxygen transport protein hemoglobin is found in abnormally high concentrations in the urine. The condition is often associated with hemolytic anemia, in which red blood cells (RBCs) are destroyed, thereby increasing levels of free plasma hemoglobin. Excess hemoglobin is filtered by the kidneys, which excrete it into the urine, giving urine a purple color.
Contents
- 1 Causes
- 2 Complications
- 3 Diagnosis
- 4 See also
Causes
- Acute glomerulonephritis
- Burns
- Renal cancer
- Malaria
- Paroxysmal nocturnal hemoglobinuria
- Microangiopathies, e.g. Hemolytic-uremic syndrome (HUS), Thrombotic thrombocytopenic purpura (TTP)
- Transfusion reactions
- IgM autoimmune hemolytic anemia
- Pyelonephritis
- Sickle cell anemia
- Tuberculosis of the urinary tract
- March hemoglobinuria secondary to repetitive impacts on the body, usually the feet
- Athletic nephritis secondary to strenuous exercise
- Acute lead poisoning
Complications
Hemoglobinuria can lead to acute tubular necrosis which is an uncommon cause of death of uni-traumatic patients recovering in the ICU.
Diagnosis
The diagnosis is often made based on the medical history, blood samples, and a urine sample. The absence of urine RBCs and RBC casts microscopically despite a positive dipstick test suggests hemoglobinuria or myoglobinuria. The medical term for RBCs in the urine is hematuria.
See also
Abnormal clinical and laboratory findings from a urine test (R80–R82, 791)
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Red blood cells |
- Hematuria (Microscopic hematuria)
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White blood cells |
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Proteinuria |
- Albuminuria/Microalbuminuria
- Myoglobinuria
- Hemoglobinuria
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Small molecules |
- Glycosuria
- Ketonuria
- Bilirubinuria
- Hyperuricosuria/Hypouricosuria
- Aminoaciduria
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Pathogens |
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Other |
- Chyluria
- Crystalluria
- osmolality (Isosthenuria, Hypersthenuria)
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Index of the urinary system
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Description |
- Anatomy
- Physiology
- Development
- Cells
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Disease |
- Electrolyte and acid-base
- Congenital
- Neoplasms and cancer
- Other
- Symptoms and signs
- Urine tests
- Blood tests
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Treatment |
- Procedures
- Drugs
- Intravenous fluids
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UpToDate Contents
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English Journal
- Serologic response to meningococcal vaccination in patients with paroxysmal nocturnal hemoglobinuria (PNH) chronically treated with the terminal complement inhibitor eculizumab.
- Alashkar F1, Vance C2, Herich-Terhürne D1, Preising N1, Dührsen U1, Röth A3.
- Annals of hematology.Ann Hematol.2017 Apr;96(4):589-596. doi: 10.1007/s00277-017-2924-y. Epub 2017 Jan 26.
- PMID 28124080
- PMID 28256911
- Therapeutic complement inhibition: a promising approach for treatment of neuroimmunological diseases.
- Pilch KS1, J Spaeth P2, Yuki N3, Wakerley BR4.
- Expert review of neurotherapeutics.Expert Rev Neurother.2017 Mar 6:1-13. doi: 10.1080/14737175.2017.1282821. [Epub ahead of print]
- PMID 28092989
Japanese Journal
- 発作性夜間ヘモグロビン尿症の発症機序 (第78回日本血液学会学術集会 教育講演特集号) -- (赤血球系疾患)
- PNHの診断と治療の最前線 (特集 貧血性疾患診療の進歩)
- 骨髄不全におけるPNHクローンの診断的意義 (特集 貧血性疾患診療の進歩)
Related Links
- hemoglobinuria /he·mo·glo·bin·uria/ (he″mo-glo″bĭ-nu?re-ah) free hemoglobin in the urine.hemoglobinu?ric march hemoglobinuria that seen after prolonged exercise. paroxysmal cold hemoglobinuria an autoimmune or postviral disease ...
- Definition of HEMOGLOBINURIA: the presence of free hemoglobin in the urine — he·mo·glo·bin·uric \-ˈ n u r-ik, - ˈ ny u r-\ adjective Origin of HEMOGLOBINURIA ... Medical Definition of HEMOGLOBINURIA: the presence of free ...
Related Pictures
★リンクテーブル★
[★]
- 英
- hemoglobinuria
- 同
- 血色素尿
- 関
- ヘモグロビン尿症、血色素尿症
血尿とヘモグロビン尿の鑑別
[★]
- 英
- hemoglobinuria
- 同
- ヘモグロビン尿、血色素尿症
- 関
- ヘモグロビン尿性腎症、赤いおむつ症候群
[show details]
- 赤色あるいは赤褐色調の尿が認められ、その成分がヘモグロビン*由来である場合をいう。
病因
-
[★]
- 英
- urine
- ラ
- urina
- 関
- 尿浸透圧、尿量
臨床関連
尿中への代謝物質の異常排出
尿の色
- 決定する要素:ウロビリノゲン、ヘモグロビン、ミオグロビンなど
[★]
発作性ヘモグロビン尿症
- 関
- paroxysmal cold hemoglobinuria、paroxysmal nocturnal hemoglobinuria
[★]
発作性寒冷血色素尿症 PCH
[★]
発作性夜間血色素尿症 PNH