Nephrol Dial Transplant (1996) 11: 723-725
© 1996 European Renal Association-European Dialysis and Transplant Association
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Don't forget sickled cells in the urine when investigating a patient for haematuria
Department of Nephrology, Guy's Hospital London, UK *Department of Medicine, National University Hospital Singapore
Correspondence and offprint requests to: Correspondence and offprint requests to: G. B. Fogazzi, Divisione di Nefrologia e Dialisi, Ospedale Maggiore, IRCCS, Via Commenda 15, 20122 Milan, Italy
Haematuria is a well-known complication of sickle cell disease. A South African coloured patient with repeated episodes of gross haematuria is described in whom the diagnosis of sickle cell disease was suggested after the finding of sickled erythrocytes in the urine sediment. The diagnosis was then confirmed by haemo globin electrophoresis, which revealed sickle cell trait (Hb-AS). It is concluded that sickled erythrocytes must be looked for when urine is microscopically scrutinized to determine the source of a haematuria.
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