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Previous Volume 335:1323 October 24, 1996 Number 17 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Dr. Saad's photomicrographs of dysmorphic urinary erythrocytes (Images in Clinical Medicine, May 30 issue),¹ although beautiful, are dangerously misleading. Dysmorphic cells do not represent glomerular bleeding, as the legend implies. They can be produced as a result of kidney biopsies² and are therefore not necessarily of glomerular origin. Renal tumors can also be expected to produce dysmorphic hematuria. By assuming that a finding of dysmorphic red cells rules out all causes of hematuria other than glomerulonephritis, one could miss a renal tumor.

Akos Z. Györy, M.D., D.Sc.
Sydney University
Sydney, NSW 2006, Australia

References

1. Saad TF. Dysmorphic urinary erythrocytes. N Engl J Med 1996;334:1440-1440. [Free Full Text]
2. Pollock C, Pei-Ling L, Györy AZ, et al. Dysmorphism of urinary red blood cells -- value in diagnosis. Kidney Int 1989;36:1045-1049. [Medline]

To . . . [Full Text of this Article]

References

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