March 1965

Benign Recurrent Hematuria

Author Affiliations

From the Department of Pediatrics, University of Minnesota Medical School. Established investigator of the Helen Hay Whitney Foundation and Assistant Professor of Pediatrics at the University of Minnesota (Dr. Ayoub); established investigator of the American Heart Association and Associate Professor of Pediatrics at the University of Minnesota (Dr. Vernier).

Am J Dis Child. 1965;109(3):217-223. doi:10.1001/archpedi.1965.02090020219004

RECURRENT hematuria in the pediatric age group presents a problem with varying prognostic implications. Although recurrent hematuria in the pediatric patient is usually a manifestation of diseases that carry serious prognoses, we have encountered a group of patients in whom this symptom has a benign course and was not apparently associated with any of the known pathogenic etiologies.

Gross hematuria may recur during the recovery period following acute glomerulonephritis of group A streptococcal etiology. Recurrent hematuria in this disease may be precipitated by streptococcal as well as nonstreptococcal upper respiratory infections.1 Such recurrences are limited in number and occur within a few months after the initial attack of acute glomerulonephritis. The good prognosis associated with group A streptococcal acute glomerulonephritis is not necessarily altered by these recurrences. However, the persistence of hematuria over a prolonged period of time should raise the possibility that one is dealing with acute exacerbations of

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