Differentiation entre erythrocyturie glomerulaire et non-glomerulaire: quelle utilite pour le diagnostic differentiel des microhematuries? [Differentiation between glomerular and non-glomerular erythrocyturia: what is the value of differential microhematuria diagnosis?]

Details

Serval ID
serval:BIB_5A5ED3A0B9B2
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Differentiation entre erythrocyturie glomerulaire et non-glomerulaire: quelle utilite pour le diagnostic differentiel des microhematuries? [Differentiation between glomerular and non-glomerular erythrocyturia: what is the value of differential microhematuria diagnosis?]
Journal
Schweizerische Rundschau fur Medizin Praxis
Author(s)
Gerc  V., Schubert  A., Burnier  M.
ISSN
1013-2058 (Print)
Publication state
Published
Issued date
07/1997
Volume
86
Number
31-32
Pages
1198-203
Notes
English Abstract
Journal Article
Review --- Old month value: Jul 30
Abstract
A few years ago, a new and simple method has been proposed to help guiding the investigation of microhematuria. This method which consists in quantifying the percentage of deformed polymorphous erythrocytes in the urinary sediment using phase contrast microscopy allows to distinguish glomerular from non-glomerular erythrocytes. In this paper, we have reviewed the recent literature concerning this approach and have discussed the conclusions according to our own experience based on the analysis of 147 patients presenting with microhematuria. Our results demonstrate that this technique is still limited by the difficulty to obtain well-defined cut-off values which effectively differentiate renal from urologic diseases. Thus, only extreme results showing either the total absence or the presence of a very high percentage of dismorphic erythrocytes appear to be helpful for the physician. Despite the introduction of this new method, many patients with microhematuria are insufficiently investigated.
Keywords
Diagnosis, Differential *Erythrocytes/pathology Glomerulonephritis/*diagnosis/urine Hematuria/*etiology/urine Humans Microscopy, Phase-Contrast
Pubmed
Create date
25/01/2008 12:56
Last modification date
20/08/2019 14:13
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