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Child Abuse in Medical Setting Presenting as Gross Hematuria: Diagnosis by DNA Short Tandem Repeats
Pediatrics, 07/13/2012
Tsai HL et al. – Two sisters, aged 15 and 13 years, had previous epithelioid angiomyolipoma of the kidney and suspected thin basement membrane disease, respectively. They presented with 2 years of gross hematuria and new–onset heavy proteinuria. Extensive investigations failed to find an overt cause of their urinary manifestations. The diagnosis of child abuse in a medical setting was confirmed by DNA short tandem repeats analysis, which are the first documented cases in which factitious hematuria was thus diagnosed.
