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Etiologi Hematuria
Etiologi hematuria dapat dibagi menjadi penyebab kongenital, infeksi, keganasan, autoimun, dan trauma. Kelainan bisa terjadi pada traktus urinarius itu sendiri misalnya akibat infeksi saluran kemih, atau terjadi di luar traktus urinarius misalnya akibat metastasis kanker serviks atau kanker prostat. Hematuria juga bisa disebabkan gangguan sistemik, seperti pada kasus hemofilia dan penyakit von Willebrand.[1,4,5]
Kongenital
Penyebab hematuria kongenital meliputi congenital renal arteriovenous fistula, congenital portosystemic shunts (malformasi Abernethy), renal lymphangioma, serta gangguan pembentukan segmen infrarenal vena kava. Kelainan genetik, seperti X-linked Alport syndrome dan thin basement membrane (TBM), juga bisa menjadi penyebab hematuria glomerular non-inflamatorik.[8,10-12]
Referensi
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