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Clinical Pediatrics, Vol. 44, No. 1, 43-48 (2005)
DOI: 10.1177/000992280504400105

Role of Routine Urinalysis in Asymptomatic Pediatric Patients

Jayanthi Chandar, MD

Department of Pediatrics, Division of Pediatric Nephrology, University of Miami

Orlando Gómez-Marín, MSc, PhD

Departments of Pediatrics, Division of Pediatric Nephrology, Epidemiology & Public Health, University of Miami

Rolando del Pozo, MD, MPH

Department of Epidemiology & Public Health, University of Miami

Lee Sanders, MD

Department of Pediatrics, Division of Community Pediatrics, University of Miami

Brenda Montane, MD

Department of Pediatrics, Division of Pediatric Nephrology, University of Miami

Carolyn Abitbol, MD

Department of Pediatrics, Division of Pediatric Nephrology, University of Miami

José Strauss, MD

Department of Pediatrics, Division of Pediatric Nephrology, University of Miami

Gastón Zilleruelo, MD

Department of Pediatrics, Division of Pediatric Nephrology, University of Miami

This study was done to evaluate the spectrum of diagnoses and identify risk factors for significant kidney disease in asymptomatic children with proteinuria and/or microhematuria detected by routine urinalysis. Clinical and laboratory data were obtained by retrospective chart review of 239 patients referred to a tertiary care center. The predominant diagnosis in children with isolated microhematuria was hypercalciuria and with isolated proteinuria, orthostatic proteinuria. When microhematuria and proteinuria were present in combination, kidney disease was the predominant diagnosis. Urinalysis is a valuable tool to identify patients with kidney disease. The combination of microhematuria and proteinuria increases the risk of having significant kidney disease.


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