en
Scientific article
Case report
Open access
English

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

Published inNDT plus, vol. 2, no. 5, p. 354-356
Publication date2009-10
First online date2009-07-16
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.

eng
Keywords
  • Multiple sclerosis
  • Small vessel vasculitis
  • Urine analysis
Affiliation Not a UNIGE publication
Citation (ISO format)
GYÖRIK, Sándor, JANDUS, Peter, MARONE, Claudio. Urinanalysis (UA): a neglected but easy and inexpensive diagnostic tool. In: NDT plus, 2009, vol. 2, n° 5, p. 354–356. doi: 10.1093/ndtplus/sfp088
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Article (Published version)
Identifiers
ISSN of the journal1753-0784
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