Persistent and anemizing gross hematuria solved with enalapril

MUSSO, CARLOS GUIDO; MOMBELLI, CESAR; LIZARRAGA, A.; IMPERIALI, NORA; ALGRANATI, LUIS

Electron J Biomed

MJ Coma MD, PhD. Unidad de Investigación. Hospital General Yagüe.

Año: 2005

Hematuria is the presence of an excessive number of red blood cells in the urine (at least three or more erythrocytes in a high-power field in centrifuged urine). It is categorized as microscopic when it is visible only with the aid of a microscope and macroscopic when the urine is tea-colored, pink or even red. Hematuria can result from injury to the kidney or injury to another site in the urinary tract, and renal hematuria can be caused by glomerular or non-glomerular disease. Some clinical and biochemical findings contribute to understand the origin of this problem: the presence of hematuria with clots suggests an urological cause, while the presence of red blood cell casts and/or dysmorphic red blood cells in a urine sample supports a glomerular etiology. In the present report we presented a clinical case of a patient suffering from persistent and anemizing gross hematuria secondary to a mesangial proliferative glomerulonephritis associated with thick glomerular basement membranes which was solved using enalapril.