The Loin-Pain/Hæmaturia Syndrome

The use of surgical sympathectomy in the treatment of chronic renal pain

“…Increased painless haematuria, loin pain, or both loin pain and haematuria in whom urinary infection, calculi and anaamounts of lipofuscin within the glomerular hilum and mesangium of patients suÂering from LPHS has also tomical abnormalities of the urinary tract had been excluded. Of these patients, 12 were women who suÂered been reported [8]. Support for intravascular thrombosis as an aetiological with both loin pain and haematuria.…”

“…Burden et al [4] investigated 19 patients with recurrent [8] the deposition of complement components C3, C4 and C1q and IgM within the arteriolar walls. Increased painless haematuria, loin pain, or both loin pain and haematuria in whom urinary infection, calculi and anaamounts of lipofuscin within the glomerular hilum and mesangium of patients suÂering from LPHS has also tomical abnormalities of the urinary tract had been excluded.…”

“…Support for intravascular thrombosis as an aetiological with both loin pain and haematuria. Their renal factor in LPHS is suggested by reports of a reduction in allografts, but were surprised by the degree of neuronal regeneration considering that the transplanted kidney the heparin-thrombin clotting time [8] and a reduction in platelet life-span with an increase in platelet factor 3 was anastomosed to the internal iliac artery with no attempt at neural realignment. levels [9], although both these reports await confirmation.…”

Idiopathic Unilateral Gross Hematuria in the Pediatric Patient

“…These reports have dealt primarily with adults. The inclusion of younger patients into the unilateral hematuria spectrum may be seen in the 'hematuria-loin pain syndrome' [7,12,13], in which angiographic evidence of abnormalities of peripheral intrarenal arteries has been described, espe cially in, but not confined to, young women taking birth control pills. This syndrome associates vascular anoma lies with pain, but the association has also been observed with renal vascular malformations of the renal venous drainage system [13.…”

“…Proteinuria, when present, was always less than 2.0 g/day [14], The excre tory urogram was not helpful in establishing the diagnosis nor was angiography nor venography [7,13,14]. Renal biopsies revealed only nonspecific features shared by a variety of hematuric syndromes [3,6,7,10,12,14],…”