Clinico-Etiologic Profile of Macroscopic Hematuria in Children: A Single Center Experience.

OBJECTIVES To study the demographic, clinical and etiological profile of macroscopic hematuria in children presenting to a tertiary care hospital. METHODS This prospective observational study, conducted between January, 2018 and December, 2019, enrolled children aged 3 months to 12 years, presenting with gross hematuria. RESULTS Among the 62 children (44 males) enrolled, with mean (SD) age of 7.3 (2.6) years, glomerular hematuria was seen in 59.7%. Post-infectious glomerulonephritis was the commonest etiology of glomerular hematuria; hypercalciuria and renal calculi predominated among non-glomerular hematuria. After a median (IQR) follow up of 8 (6,14.2) months, microscopic hematuria persisted in 10 (7, glomerular hematuria) children. The median time to resolution of gross as well as microscopic hematuria tended to be longer in glomerular etiologies. CONCLUSIONS Majority of children with gross hematuria had glomerular etiologies, thus requiring monitoring and follow-up.