Approach to the Child with Hematuria

Denver D. Brown, Kimberly J. Reidy

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations


The causes of macroscopic and microscopic hematuria overlap; both are often caused by urinary tract infections or urethral/bladder irritation. Coexistent hypertension and proteinuria should prompt investigation for glomerular disease. The most common glomerulonephritis in children is postinfectious glomerulonephritis. In most patients, and especially with isolated microscopic hematuria, the diagnostic workup reveals no clear underlying cause. In those cases whereby a diagnosis is made, the most common causes of persistent microscopic hematuria are thin basement membrane nephropathy, immunoglobulin A nephropathy, or idiopathic hypercalciuria. Treatment and long-term prognosis varies with the underlying disease.

Original languageEnglish (US)
Pages (from-to)15-30
Number of pages16
JournalPediatric clinics of North America
Issue number1
StatePublished - Feb 2019


  • Glomerulonephritis
  • Gross hematuria
  • Hematuria
  • Hypercalciuria
  • Macroscopic
  • Microscopic hematuria
  • Red blood cells
  • Thin basement membrane nephropathy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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