顕微鏡的血尿
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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2016/03/25 08:42:25」(JST)
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Microscopic hematuria is a medical condition in which urine contains small amounts of blood. Blood quantity is too low to change the color of the urine (otherwise, it is known as gross hematuria). While not dangerous in itself, it maybe a symptom of kidney disease, such as IgA nephropathy, which should be monitored by a doctor.
The American Urological Association (AUA) recommends a definition of microscopic hematuria as three or more red blood cells per high-power microscopic field in urinary sediment from two of three properly collected urinalysis specimens.[1]
See also
- proteinuria
- hematuria
- myoglobinuria
- hemoglobinuria
References
- ^ [1] Grossfeld, G.; Wolf Jr, J.; Litwan, M.; Hricak, H.; Shuler, C.; Agerter, D.; Carroll, P. (2001). "Asymptomatic microscopic hematuria in adults: Summary of the AUA best practice policy recommendations". American family physician 63 (6): 1145–1154. PMID 11277551.
External links
- Cohen RA, Brown RS (2003). "Clinical practice. Microscopic hematuria". N. Engl. J. Med. 348 (23): 2330–8. doi:10.1056/NEJMcp012694. PMID 12788998.
- 2012 AUA Guidelines [2]
Diseases of the urinary system (N00–N39, 580–599)
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|
Kidney disease |
Glomerules |
Primarily
nephrotic |
Non-proliferative |
- Minimal change
- Focal segmental
- Membranous
|
|
Proliferative |
- Mesangial proliferative
- Endocapillary proliferative
- Membranoproliferative/mesangiocapillary
|
|
By condition |
|
|
|
Primarily
nephritic,
RPG |
Type I RPG/Type II hypersensitivity |
|
|
Type II RPG/Type III hypersensitivity |
- Post-streptococcal
- Lupus
- IgA/Berger's
|
|
Type III RPG/Pauci-immune |
- Granulomatosis with polyangiitis
- Microscopic polyangiitis
- Churg–Strauss syndrome
|
|
|
General |
- glomerulonephritis
- glomerulonephrosis
|
|
|
Tubules |
- Renal tubular acidosis
- Acute tubular necrosis
- Genetic
- Fanconi syndrome
- Bartter syndrome
- Gitelman syndrome
- Liddle's syndrome
|
|
Interstitium |
- Interstitial nephritis
- Pyelonephritis
- Danubian endemic familial nephropathy
|
|
General |
General syndromes |
- Nephritis
- Nephrosis)
- Renal failure
- Acute renal failure
- Chronic kidney disease
- Uremic pericarditis
- Uremia
- Diabetes insipidus
- Renal papilla
- Major calyx/pelvis
- Hydronephrosis
- Pyonephrosis
- Reflux nephropathy
|
|
Vascular |
- Renal artery stenosis
- Renal ischemia
- Hypertensive nephropathy
- Renovascular hypertension
- Renal cortical necrosis
|
|
Other |
- Analgesic nephropathy
- Renal osteodystrophy
- Nephroptosis
- Abderhalden–Kaufmann–Lignac syndrome
|
|
|
|
Urinary tract |
Ureter |
- Ureteritis
- Ureterocele
- Megaureter
|
|
Bladder |
- Cystitis
- Interstitial cystitis
- Hunner's ulcer
- Trigonitis
- Hemorrhagic cystitis
- Neurogenic bladder dysfunction
- Bladder sphincter dyssynergia
- Vesicointestinal fistula
- Vesicoureteral reflux
|
|
Urethra |
- Urethritis
- Non-gonococcal urethritis
- Urethral syndrome
- Urethral stricture/Meatal stenosis
- Urethral caruncle
|
|
Any/all |
- Obstructive uropathy
- Urinary tract infection
- Retroperitoneal fibrosis
- Urolithiasis
- Bladder stone
- Kidney stone
- Renal colic
- Malakoplakia
- Urinary incontinence
|
|
|
‹ The template below (Abnormal clinical and laboratory findings for urine) is being merged. See templates for discussion for the discussion that led to this result. ›
Components and results of urine tests (CPT 81000–81099; R80–R82, 791)
|
|
Components |
- Albumin
- Myoglobin
- hCG
- Leukocyte esterase
- Urine pregnancy test
- Ketone bodies
- Glucose
- Urobilinogen
- Bilirubin
- Creatinine
- RBC
- WBC
- Urinary casts
|
|
Chemical properties |
- Urine specific gravity
- Urine osmolality
- Urine pH
- Urine anion gap
|
|
Abnormal findings |
Red blood cells |
- Hematuria (Microscopic hematuria)
|
|
White blood cells |
|
|
Proteinuria |
- Albuminuria/Microalbuminuria
- Myoglobinuria
- Hemoglobinuria
|
|
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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|
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UpToDate Contents
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English Journal
- Association of hematuria on microscopic urinalysis and risk of urinary tract cancer.
- Jung H, Gleason JM, Loo RK, Patel HS, Slezak JM, Jacobsen SJ.SourceDepartment of Urology, Kaiser Permanente Southern California, Los Angeles, California.
- The Journal of urology.2011 May;185(5):1698-703. Epub 2011 Mar 21.
- PMID 21419446
- Heterogeneous pattern of renal disease associated with homozygous Factor H deficiency.
- Servais A, Noel LH, Dragon-Durey MA, Gubler MC, Remy P, Buob D, Cordonnier C, Makdassi R, Jaber W, Boulanger E, Lesavre P, Fremeaux-Bacchi V.SourceDepartment of Nephrology, Hopital Necker-Enfants Malades AP-HP, Paris 75015, France; Universite Paris Descartes, Paris 75006, France.
- Human pathology.2011 Mar 9. [Epub ahead of print]
- Membranoproliferative glomerulonephritis type II is a rare renal disease, associated with uncontrolled activation of the complement alternative pathway because of C3 nephritic factor. Abnormalities in factor H have been rarely described in patients with membranoproliferative glomerulonephritis type
- PMID 21396679
Japanese Journal
- A Case of γ 1-Heavy Chain Deposition Disease Successfully Treated with Melphalan and Prednisolone Therapy
- Oe Yuji,Nakaya Izaya,Yahata Mayumi,Sakuma Tsutomu,Sato Hiroshi,Soma Jun
- Internal Medicine 49(14), 1411-1415, 2010
- … We describe a case of γ1-HCDD who presented with nephrotic syndrome, microhematuria, and hypocomplementemia. …
- NAID 130000299549
- Female genital urinary schistosomiasis : Is there an association with infertility?
- TAKOUGANG Innocent,KAMTCHOUING Pierre,MELI Jean,NKELE Ndedi,KEUZETA Jean-Joel,FOTSO Simeon,FOKOUA Seraphin,TEMGOUA Maurice Wamba
- Tropical medicine and health 36(4), 149-154, 2008-12-01
- … Similarly, almost half of the urine samples collected (44.8%) were positive for microhematuria. … The prevalence of infertility was significantly higher among women with microhematuria or a history of hematuria (χ2=5.42, p=0.06). …
- NAID 10025714844
Related Links
- Definition of Microhematuria in the Medical Dictionary. Microhematuria explanation. Information about Microhematuria in Free online English dictionary. What is Microhematuria? Meaning of Microhematuria medical term. What ...
- Microhematuria is unseen blood in urine. This term is a shortened version of Microscopic hematuria. It is normal for urine to have very small amounts of blood in it. However there are standards that can, either in a laboratory or in the ...
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★リンクテーブル★
[★]
- 英
- microscopic hematuria, microhematuria?
- 同
- 潜血尿 occult hematuria
- 関
- 血尿
顕微鏡的血尿を来すもっとも一般的な糸球体の原因 (100Cases p.158)
フォローアップ
- 持続的に顕微鏡的血尿がみられる場合、尿検査・超音波検査を施行後に、外来フォローアップの目安は3年毎。
- 顕微鏡血尿では10-20年後も78%の例で血尿を認める。3年以上経過して泌尿器科悪性腫瘍日発展する例は稀(内科診断リファレンスp.349)