YUSUF ÇETİN DOĞANER, ÜMİT AYDOĞAN, Melih KAHRAMAN

Ağır egzersize bağlı makroskobik Hematüri – Proteinüri

Hematüri, aksi kanıtlanıncaya kadar çok ciddi bir bulgu olarak kabul edilmelidir. Çok basit bir idrar yolu enfeksiyonundan kaynaklanabileceği gibi üriner sistem tümörünün ilk belirtisi de olabilir. Hematüri izole olarak tek bulgu olarak saptanabileceği gibi diğer üriner sistem patolojilerine de eşlik edebilir. Öncelikle enfeksiyon, travma ve mensturasyon ekarte edilmelidir. Bu olgumuzda, makroskobik hematüri ve beraberindeki proteinüri kliniği özelliklerini tekrar gözden geçirerek, birinci basamakta laboratuar testlerinin kullanımı yanında ayrıntılı tıbbi öykü alınmasının önemini tekrar vurgulamaya çalıştık.

[Heavy exercise induced macroscopic Hematuria-Proteinuria]

Hematuria must be regarded as a serious finding until proven otherwise. It can be originated from simple urinary tract infection, but also can be a first sign due to urinary tract tumor. Hematuria can be detected as well as the only isolated finding, it can also accompany other urinary system pathologies. Infection, trauma, and menstruation should be ruled out primarly. In this case, we have tried to emphasize again the importance of detailed medical history as well as the use of laboratory tests in primary care by revising the clinical features of macroscopic hematuria and accompanying proteinuria.

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1. Khadra MH, Pickard RS, Charlton M, et al. A prospective analysis of 1,930 patients with hematuria to evaluate current diagnostic practice. J Urol. 2000; 163(2): 524-527.
2. Hageman N, Aronsen T, Tiselius HG. A simple device (Hemostick) fort he standardized description of macroscopic hematuria: our initial experience. Scand J Urol Nephrol. 2006; 40: 149.
3. Grossfeld GD, Litwin MS, Wolf JS, et al. Evaluation of asymptomatic microscopic hematuria in adults: the American Urological Association best practice policy–part I: definition, detection, prevalence, and etiology. Urology. 2001; 57(4): 599-603.
4. Glenn S.Gerber MD, Charles B Brendler MD. Evaluation of the urologic patient: History, physical examination, and urinalysis. Campbell- Walsh Urology. Ninth Edition. Philadelphia. 2007, p. 81-110.
5. Semerciöz A, Baltacı AK, Atikeler MK, Türköz Y, Baydinç C, Moğulkoç R. Türk Fizyolojik Bilimler Derneği 21. Ulusal Kongresi Ankara. Bildiri Özetleri Kitabı. 24-28 Eylül 1995, s. 112.
6. Fassett RG, Owen JE, Fairley J, Birch DF, Fairley KF. Urinary red-cell morphology during exercise. Brit Med. 1982; 285: 1455-1457.
7. Carlsson DL, Mawdsley RH. Sports anemia. Amer J Sports Med. 1986; 14: 109-111.
8. Boileau M, Fuchs E, Barry JM, Hodges CV. Stress hematuria: athletic pseudonephritis in marathoners. Urology. 1980; 15(5): 471-474.
9. Joseph A, Alexandr EB, Dov L, David K. Sports hematuria. J Urol. 1990; 143: 887-890.
10. Poormants JR. Exercise and renal function. Sports Med. 1984; 1: 725-753.
11. Rah PJ, Wilson IO. Other body systems and exercise, II the kidney. In: Fall HB, ed. Exercise physiology. New York: Academic Press Inc, 1986, p. 130-139.