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International Journal of Pediatrics
Volume 2012, Article ID 768142, 7 pages
http://dx.doi.org/10.1155/2012/768142
Review Article

Highlights for the Management of a Child with Proteinuria and Hematuria

Department of Pediatrics, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75235-9063, USA

Received 30 January 2012; Accepted 6 May 2012

Academic Editor: Mouin Seikaly

Copyright © 2012 Jyothsna Gattineni. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The identification of hematuria or proteinuria in an otherwise healthy child can cause anxiety to both the family and the pediatrician. The etiology of hematuria and proteinuria includes a long list of conditions, and detailed workup can be exhaustive, expensive and not essential in most of the patients. As will be described in this paper, most of the children with proteinuria or hematuria have a benign etiology. The primary role of the pediatrician is to identify hematuria/proteinuria, recognize the common causes of hematuria/proteinuria, and more importantly identify children with serious conditions that need referral to the nephrologist in a timely manner.