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Painless, macroscopic hematuria during a minor flu-like illness or after vigorous exercise
    Differential Diagnosis[Top] [Nav]
IgA nephropathy (Berger disease)
    Discussion -- not available online[Top] [Nav]
    Update Comments[Top] [Nav]
  • Although many patients with autosomal dominant polycystic kidney disease report that strenuous exercise precipitates hematuria, a precise association has not been proven. [104]
  • Post-exertional myoglobinuria occurs in some metabolic myopathies. [105]
  • Episodic myoglobinuria can occur in some disorders of fatty acid oxidation. [106]
    Footnotes in Print Edition[Top] [Nav]
    (1) IgA nephropathy.
  Clarkson AR, Woodroffe AJ, et al.   Annu Rev Med 1987;38:157-68.  Pubmed+Abstract  Similars
    (2) Renal deposition of cytomegalovirus antigen in immunoglobulin-A nephropathy.
  Gregory MC, Hammond ME, et al.   Lancet 1988 Jan 2-9;1(8575-6):11-4.  Pubmed+Abstract  Similars
    (3) Campbell's Urology. 5th ed.
  Walsh PC, et al. Philadelphia: Saunders, 1986: 2342.
    (4a) Exercise-related hematuria. Findings in a group of marathon runners.
  Siegel AJ, Hennekens CH, et al.   JAMA 1979 Jan 26;241(4):391-2.  Pubmed+Abstract  Similars
    (4b) Hematology. 3rd ed.
  Williams WJ, et al. New York: McGraw-Hill, 1983: 618-619.
    (5) Diseases of the Kidney. 4th ed.
  Schrier RW, Gottschalk CW (eds). Boston: Little, Brown, 1988: 2099-2100.
    New References[Top] [Nav]
IgA nephropathy
    101.Familial IgA nephropathy. Evidence of an inherited mechanism of disease.
  Julian BA, Quiggins PA, et al.   N Engl J Med 1985 Jan 24;312(4):202-8.  Pubmed+Abstract  Similars
Hematuria
    102.Hematuria and Legionella pneumonia [letter].
  Golub RJ, Feinsilver SH.   Ann Intern Med 1988 Mar;108(3):489.  Pubmed  Similars
    103.Bladder carcinoma presenting as exercise-induced hematuria.
  Mueller EJ, Thompson IM.   Postgrad Med 1988 Dec;84(8):173-6.  Pubmed+Abstract  Similars
    104.Autosomal dominant polycystic kidney disease.
  Gabow PA.   N Engl J Med 1993 Jul 29;329(5):332-42.  Pubmed  Similars
Hematuria mimics
    105.Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 36-1986. A 29-year-old woman with slowly progressive proximal-muscle weakness.
  N Engl J Med 1986 Sep 11;315(11):694-701.  Pubmed  Similars
    106.The changing face of disorders of fatty acid oxidation.
  Vockley J.   Mayo Clin Proc 1994 Mar;69(3):249-57.  Pubmed+Abstract  Similars
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    ©1986-2000 John Sotos, MD. All rights reserved.  Last updated 16:34 PDT on July 4, 2000.[Top]

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