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Microhematuria, also called microscopic hematuria (both usually abbreviated as MH), is a medical condition in which urine contains small amounts of blood; the blood quantity is too low to change the color of the urine (otherwise, it is known as gross hematuria).
Hematuria can be classified according to visibility, anatomical origin, and timing of blood during urination. [1] [6]In terms of visibility, hematuria can be visible to the naked eye (termed "gross hematuria") and may appear red or brown (sometimes referred to as tea-colored), or it can be microscopic (i.e. not visible but detected with a microscope or laboratory test).
Most patients with thin basement membrane disease are incidentally discovered to have microscopic hematuria on urinalysis. The blood pressure, kidney function, and the urinary protein excretion are usually normal. Mild proteinuria (less than 1.5 g/day) and hypertension are seen in a small minority of patients.
Microscopic hematuria is sometimes observed in healthy people after exercise [98] or as a consequence of contamination of the sample with menstrual blood. [97] Pathologic causes of hematuria are diverse and include trauma to the urinary tract, kidney stones , urinary tract infections , drug toxicity , genitourinary cancers, and a variety of ...
Hematuria (one of the symptoms of Nephritic syndrome Historically, nephritic syndrome has been characterized by blood in the urine ( hematuria ), high blood pressure ( hypertension ), decreased urine output <400 ml/day ( oliguria ), red blood cell casts , pyuria , and mild to moderate proteinuria .
Most patients have been reported to have gross or microscopic hematuria. [8] Significantly increased serum lactate dehydrogenase levels and proteinuria may also be observed. [7] Renal angiography is still the gold standard, but CT renal angiography, CT angiography, and DMSA radioisotope scan can also be used to establish the diagnosis. [4]
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Mesangial proliferative glomerulonephritis often presents with hematuria (gross or microscopic) or nephrotic syndrome. [2] Presentation can also include asymptomatic proteinuria. [2] These presenting symptoms are relatively non-specific and are often seen in other glomerular disorders.
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