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NDT Plus Advance Access published online on September 25, 2009
NDT Plus, doi:10.1093/ndtplus/sfp135
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© 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

Turbid white urine

Manel Vera1, Alejandra Molano1 and Patricia Rodríguez2

1 Nephrology and Renal Transplantation Service, Hospital Clínic de Barcelona, C/Villarroel 170, 08036- Barcelona, Spain
2 Nephrology and Renal Transplantation Service, Hospital Universitario San Ignacio, Bogotá, Colombia

Correspondence: Manel Vera; E-mail: mvera{at}clinic.ub.es


  Abstract

Turbid white urine ‘albinuria’ is defined as a urine discoloration described as milky or cloudy. One of the most frequent causes of turbid white urine is chyluria complicating filariasis (Table 1). The extant causes of albinuria are non parasitic and rare. Amongst their aetiologies stand excessive mineral sediment excretion such as calciuria and phosphaturia, massive pyuria and fungal infections, and rarely congenital malformations of the lymphatic vessels. Malingering is also possible, in patients adding milk to their urine. We observed a case of albinuria in which the diagnostic work up led to diagnosing an exceptional cause of chyluria in a patient living in a region of Colombia where filariasis is not endemic.

Key Words: albinuria • chyluria • filariasis • lymphatic fistula • turbid white urine

Received for publication January 26, 2009. Accepted for publication August 28, 2009.


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