Pediatric urine turns blue
Introduction
Introduction Pediatric urine blue is a complication of pediatric blue diaper syndrome. This disease is a congenital metabolic abnormality, the cause of which is abnormal metabolism of tryptophan in the patient.
Cause
Cause
What is the cause of urine blue in children?
Cause:
(1) Causes of the disease
This disease is a congenital metabolic abnormality, the cause of which is abnormal metabolism of tryptophan in the patient.
(two) pathogenesis
Due to intestinal absorption of tryptophan, intestinal bacteria turn tryptophan into sputum, and then become urinary blue mother, which oxidizes into blue urine in the air, excretes blue urine and dyes sputum into blue color. The sign is autosomal recessive, but it may also be sexual chain inheritance. The current genetic law has not yet been elucidated. Another report was from vitamin D poisoning.
Pathological examination showed that the kidney has extensive focal calcium deposition, and the renal medulla is particularly obvious.
Examine
an examination
Related inspection
Urine bacteria culture urine color
How should the diagnosis of urine blue in children be diagnosed?
diagnosis:
1. Urine color blue: soon after birth, you will see the urine blue, dyed and dressed in bedding. This phenomenon will continue to exist, as well as in childhood.
2. Family history: There is a tendency for family disease.
3. Development characteristics: Delayed development, low intelligence, easy to re-infect, and more than refractory serious infection.
4. Hypercalcemia: Increased serum calcium, and more calcification and calcium deposition of various organs. More common are renal calcification, kidney stones and basal ganglia calcification, and the corresponding symptoms and functional failure.
5. Increased urinary phosphorus excretion: It may be due to the inhibition of phosphorus reabsorption by bismuth compounds in the renal tubules.
6. General performance: There may be symptoms such as anorexia, vomiting, constipation, irritability, weight loss, and visual loss. The child was pale, pygmy, flattened in the nose, with internal epithelium, nystagmus, squinting, optic disc edema, and optic atrophy.
According to the above performance characteristics and various examinations confirmed.
Diagnosis
Differential diagnosis
What are the symptoms of urinary blue hair in children?
Differential diagnosis of urine blue in children:
1, urine color red or soy sauce color: the diagnosis of malaria nephropathy, urine test can be seen urine red sauce or soy sauce color, long-term unhealed part of the patient, can appear nephrotic syndrome.
2, urine turbidity: pyelonephritis patients with urine turbidity, may have gross hematuria, urine routine microscopic examination of a lot of white blood cells or pus cells.
3, the urine is black: black urine is one of the main symptoms of black urine heat, the patient's urine is black, it is called black urine heat, black urine heat is an acute blood vessel hemolysis, and cause hemoglobin and hemolytic Astragalus, severe cases of acute renal insufficiency.
4, green urine: is due to a large number of anti-inflammatory drugs or the presence of Pseudomonas aeruginosa in the urine, it will discharge green urine.
5, brown urine: the color of urine is the same as soy sauce or strong tea. This is due to the large amount of free hemoglobin in the urine. There are some children, from around the world, about 100 million children, after eating broad beans, such urine will appear, medically known as broad bean disease. Because these children are born with a lack of an enzyme called -6-GP. If your child has such a condition, you should consider whether you have faba bean disease, and strictly prohibit children from eating broad beans and broad bean products, as well as contact with pollen, because these can induce hemoglobinuria caused by intravascular hemolysis, which is life-threatening.
6, urinary yellow like strong tea: jaundice hepatitis B prominent symptoms are general fatigue, loss of appetite, nausea, vomiting, especially disgusting greasy food, upper abdominal block full of suffocation, urine yellow like strong tea.
