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Hematuria and proteinuria in a mass school urine screening test

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dc.contributor.authorPark, Yong-Hoon-
dc.contributor.authorChoi, Jung-Youn-
dc.contributor.authorChung, Hyo-Seok-
dc.contributor.authorKoo, Ja-Wook-
dc.contributor.authorKim, Su-Yung-
dc.contributor.authorNamgoong, Mee-Kyung-
dc.contributor.authorPark, Young-Seo-
dc.contributor.authorYoo, Kee-Hwan-
dc.contributor.authorLee, Kyung-Yil-
dc.contributor.authorLee, Dae-Yeol-
dc.contributor.authorLee, Seung-Joo-
dc.contributor.authorLee, Ji-Eun-
dc.contributor.authorChung, Woo-Yeong-
dc.contributor.authorHah, Tae-Sun-
dc.contributor.authorCheong, Hae-Il-
dc.contributor.authorChoi, Yong-
dc.contributor.authorLee, Kyung-Soo-
dc.date.accessioned2010-01-06T07:00:12Z-
dc.date.available2010-01-06T07:00:12Z-
dc.date.issued2005-06-11-
dc.identifier.citationPediatr Nephrol. 2005 Aug;20(8):1126-30. Epub 2005 Jun 10.en
dc.identifier.issn0931-041X (Print)-
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15947990-
dc.identifier.urihttps://hdl.handle.net/10371/26680-
dc.description.abstractA total of 1,044 school children identified with hematuria and/or proteinuria during a mass school urine screening test were referred to pediatric nephrologists at 13 hospitals in Korea. These children had isolated hematuria (IH) (60.1%), isolated proteinuria (IP) (26.4%: transient, 19.6%; orthostatic, 4.9%; persistent, 1.9%) or combined hematuria and proteinuria (CHP) (13.5%). The patient's history, physical examination, laboratory tests, kidney ultrasound and Doppler ultrasonography were obtained. Renal biopsies were performed on 113 children who showed severe proteinuria, hypertension, abnormal renal function, family history of chronic renal disease, systemic diseases or persistent hematuria and/or proteinuria for more than 12 months. IgA nephropathy (IgAN), thin basement membrane nephropathy (TBMN), membranoproliferative glomerulonephritis (MPGN), focal segmental glomerulosclerosis (FSGS), other GN, Alport syndrome and lupus nephritis were detected. IgAN and TBMN were the most common causes in the CHP group and IH group, respectively. Abnormal findings on the renal ultrasound with or without Doppler ultrasonography were noted in 147 cases (suspected nutcracker phenomenon, 65; increased parenchymal echogenicity, 40; hydronephrosis, 15). This study showed that the use of a mass school urine screening program can detect chronic renal disease in its early stage and recommends that more attention should be paid to identifying those children with CHP and massive proteinuria. A school urine screening program can detect chronic renal disease in its early stage. When mass screening is used, the initial aggressive diagnostic procedures such as renal biopsy are not needed. In addition, a regular follow-up for those children with IH and IP is certainly warranted.en
dc.language.isoenen
dc.publisherSpringer Verlagen
dc.subjectAdolescenten
dc.subjectChilden
dc.subjectFemaleen
dc.subjectHematuria/*epidemiology/pathologyen
dc.subjectHumansen
dc.subjectKidney Glomerulus/pathologyen
dc.subjectKorea/epidemiologyen
dc.subjectMaleen
dc.subject*Mass Screeningen
dc.subjectProteinuria/*epidemiology/pathologyen
dc.titleHematuria and proteinuria in a mass school urine screening testen
dc.typeArticleen
dc.contributor.AlternativeAuthor박용훈-
dc.contributor.AlternativeAuthor최정윤-
dc.contributor.AlternativeAuthor정효석-
dc.contributor.AlternativeAuthor구자욱-
dc.contributor.AlternativeAuthor김수영-
dc.contributor.AlternativeAuthor남궁미경-
dc.contributor.AlternativeAuthor박영서-
dc.contributor.AlternativeAuthor유기환-
dc.contributor.AlternativeAuthor이경일-
dc.contributor.AlternativeAuthor이대열-
dc.contributor.AlternativeAuthor이승주-
dc.contributor.AlternativeAuthor이지은-
dc.contributor.AlternativeAuthor정우영-
dc.contributor.AlternativeAuthor하태선-
dc.contributor.AlternativeAuthor정해일-
dc.contributor.AlternativeAuthor최용-
dc.contributor.AlternativeAuthor이경수-
dc.identifier.doi10.1007/s00467-005-1915-8-
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Pediatrics (소아과학전공)Journal Papers (저널논문_소아과학전공)
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