Skip Navigation


NDT Plus Advance Access originally published online on July 16, 2009
NDT Plus 2009 2(5):354-356; doi:10.1093/ndtplus/sfp088
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
2/5/354    most recent
sfp088v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Györik, S.
Right arrow Articles by Marone, C.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Urinanalysis (UA): a neglected but easy and inexpensive diagnostic tool

Sándor Györik1, Peter Jandus1 and Claudio Marone1,2

1 Departement of Internal Medicine, Ospedale Regionale di Bellinzona e Valli, 6500 Bellinzona (TI)
2 Departement of Internal Medicine, Ospedale Regionale di Bellinzona e Valli and University of Bern, Bern, Switzerland

Correspondence: Correspondence and offprint requests to: Claudio Marone; E-mail: claudio.marone{at}eoc.ch


  Abstract

The case history of a 75-year-old woman, who was hospitalized with the diagnosis of an acute erosive colitis, is presented. The patient was treated with hysterectomy for an endometrial cancer in 2000 and had suffered from multiple sclerosis for 15 years. A persistent non-productive cough with fever requested a pneumological consultation. Multiple small alveolar opacities and cavitating lesions were found at chest imaging, but no precise diagnosis was possible. Only 3 weeks after hospitalization, we noticed that a urine analysis had been forgotten. This additional test clearly demonstrated a nephritic sediment and further analysis confirmed the diagnosis of a ANCA-positive microscopic polyangiitis, which promptly responded to immunosuppressive therapy. The necessity of a routine urine analysis in the majority of internal medicine patients and the possible link between small vessel vasculitis and multiple sclerosis are discussed.

Key Words: multiple sclerosis • small vessel vasculitis • urine analysis

Received for publication March 4, 2009. Accepted for publication June 24, 2009.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.