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Correspondence
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Volume 339:925-926 September 24, 1998 Number 13
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Urinary Erythrophagocytes in Proliferative Glomerulonephritis

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To the Editor: Urinary microscopy is widely used for the evaluation of patients with hematuria, but distinguishing between renal and nonrenal causes of hematuria can be difficult. Signs of renal disease, particularly glomerular disease, include casts containing either erythrocytes or hemoglobin, lipiduria, and acanthocytes.1 We describe a unique urinary cell, an erythrophagocyte, whose presence indicated glomerular disease in a patient with hematuria, in whom none of the above features were present in the urinary sediment.

A 74-year-old man was evaluated for recent-onset hypertension (blood pressure, 180/100 mm Hg). Further evaluation revealed proteinuria (protein excretion, 3.2 g per 24 hours) and . . . [Full Text of this Article]

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