PMID: 9186025Jun 1, 1997Paper

Hematuria-loin pain syndrome: its existence as a discrete clinicopathological entity cannot be supported

The Clinical Journal of Pain
R LallA Rapoport

Abstract

To (a) review existing literature and current concepts on Hematuria-Loin Pain Syndrome (HLPS) and (b) to describe seven cases of this syndrome. Seven HLPS patients seen over a period of 8 years by the pain and nephrology services of the Toronto Hospital, Toronto, Ontario, Canada. Retrospective analysis was performed. All patients were remarkable for the variability of clinical presentation, pain characteristics, and dissociation of pain and hematuria occurrence. Routine renal investigations revealed different benign kidney pathologies in 5 of 7 patients. All patients, however, displayed variable combinations of personality factors, drug seeking behaviour, psychopathology, and presence of significant psychosocial stressors. Four cases were managed conservatively with antidepressants, anxiolytics, and supportive counseling and did very well despite persistent hematuria in two. HLPS does not constitute a distinct clinicopathological entity. In a minority of cases only underlying kidney pathology is related to pain, and in many cases psychosocial stressors and underlying psychopathology may play a significant role in the reported disabling pain. A concerted medical/psychological approach is advocated.

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Citations

Jan 23, 1998·Journal of Women's Health
Oct 1, 2009·Neuromodulation : Journal of the International Neuromodulation Society·Teodor GoroszeniukSandesha Kothari
Feb 21, 2009·Diagnostic and Therapeutic Endoscopy·Benjamin K CanalesManoj Monga
Apr 15, 2014·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Sahar Taba Taba VakiliHans Sollinger
Oct 20, 2006·Kidney International·G K DubeJ Radhakrishnan
Apr 23, 2016·The Korean Journal of Pain·Andrew Kristian Grech
Apr 1, 2010·Annals of the Royal College of Surgeons of England·M AhmedA M Deane
Mar 25, 2009·Current Opinion in Organ Transplantation·Kathy Lee Coffman
Jan 27, 2021·Current Pain and Headache Reports·Ivan UritsAlan D Kaye

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