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hemoglobinuria
Hemoglobin in the urine.
Etiology:
1) intravascular hemolysis due to
- hemolytic transfusion reaction (mismatched blood)
- mechanical heart valve
2) paroxysmal nocturnal hemoglobinuria (PNH)
3) cold hemoglobinuria
4) malarial hemoglobinuria
5) march hemoglobinuria
Laboratory:
- urine color: pink to red
- hemoglobin in urine
Differential diagnosis:
- hematuria
- erythrocytes will sediment if centrifuged
- myoglobinuria
- serum creatine kinase elevated
Related
hematuria
Specific
blackwater fever (malarial hemoglobinuria)
march hemoglobinuria; runner's anemia; exercise-induced hemolysis
paroxysmal cold hemoglobinuria (PCH)
paroxysmal nocturnal hemoglobinuria (PNH, Marchiafava-Micheli syndrome)
pigment nephropathy
General
sign/symptom
References
- Medical Knowledge Self Assessment Program (MKSAP) 17,
American College of Physicians, Philadelphia 2015