PMID: 7993286Jun 1, 1994Paper

Psychiatric issues in the "loin pain and haematuria syndrome"

The Australian and New Zealand Journal of Psychiatry
B Kelly

Abstract

The Loin Pain and Haematuria Syndrome is a relatively new diagnosis applied to the problem of persistent loin pain, often with haematuria, in the absence of identifiable explanatory organic pathology. Case reports have suggested a range of salient psychopathological features associated with the complaints of pain and haematuria, although the psychological factors have been largely neglected in understanding the aetiology or in approaches to management. The roles of illness behaviour, patterns of somatisation, and psychiatric disorder associated with chronic pain syndromes, need to be addressed, as do the patterns of medical and surgical response to these patients. The use of the term "syndrome" to describe these symptoms implies a degree of uniformity in clinical features and outcome that has not yet been substantiated. New surgical techniques have been developed such as renal denervation and renal auto-transplantation to treat the pain, with limited success. A review of this condition illustrates the frequent failure of medicine to apply multi-factorial biopsychosocial models to understanding the aetiology and management of unexplained physical symptoms. It also illustrates the failure of our current nosology and understanding...Continue Reading

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Citations

Oct 1, 2009·Neuromodulation : Journal of the International Neuromodulation Society·Teodor GoroszeniukSandesha Kothari
Apr 15, 2014·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Sahar Taba Taba VakiliHans Sollinger
Jan 23, 2016·Clinical Kidney Journal·Adeel S ZubairMikel Prieto
Aug 18, 2004·The Urologic Clinics of North America·Kevin E C Meyers
Apr 1, 1996·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·J R Burke, I R Hardie
Dec 1, 2011·NDT Plus·Holly B VinceJohn B Eastwood
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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