Abstract
careful monitoring of all urine collections in the hospital; absolute certainty of the blood cell source was based on minor blood group typing of the red cells in the urine. Minor blood group typing is particularly valuable when patients and their parents are of the same major blood group type. We suggest that this technique is preferable to the use of chromium 5 I-labeled erythrocytes in children when a factitious etiology of bleeding is suspected because of reduced radioactivity exposure, and because of the general availability of minor blood group typing techniques. The attentiveness and cooperation of all physicians and nurses is critical because parents frequently seek discharge for their child when suspicion by staff members develops? .3 Consideration of factitious hematuria in the differential diagnosis of hematuria may obviate painful and potentially harmful investigations as well as unnecessary courses of medications.
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