1. Orientation diagnostique devant une coloration anormale des urines : la roue à urines 2.0
- Author
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Caroline Schmitt, Caroline Sayegh, J. Pouchot, Marie Aude Penet, Edouard Flamarion, Jean Baptise Arnoux, Antoine Poli, G. Cheminet, Romane Bariseel, Constance Reichert, David de Saint Gilles, and Alexandre Karras
- Subjects
medicine.medical_specialty ,Modern medicine ,Chyluria ,business.industry ,Myoglobinuria ,030232 urology & nephrology ,Gastroenterology ,Urine ,medicine.disease ,Dermatology ,Alkaptonuria ,03 medical and health sciences ,0302 clinical medicine ,Porphyria ,Purple urine bag syndrome ,Internal Medicine ,medicine ,Hemoglobinuria ,030212 general & internal medicine ,medicine.symptom ,business - Abstract
Looking at the urine for diagnostic purposes, once performed by ancient Egyptians, can still provide some valuable clues in modern medicine. Several diseases have been named after their associated urine color and this underlines the clinical value of visual urine inspection: blue diaper disease, purple urine bag syndrome, black urine disease or porphyria. Abnormal urine color could be challenging for the clinician: it may reveal neoplastic disease (urologic cancer; melanoma), cell lysis (rhabdomyolysis; hemolysis), infection (lymphatic filariasis; malaria), enzyme deficiency (porphyria; alkaptonuria), medication or food intake. In this article, we present the diagnostic approach, the mechanisms involved and the main causes of abnormal urine color.
- Published
- 2022
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