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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood In Urine?

I had a skin biopsy and it was demined that I have Vacuities. Although I ve only gotten the rash about 4 times I recently had 3 urine tests that are showing trace amounts of blood and protein in the past 2 months. I have now been referred to a nephrologist that I cant see for about 3-4 weeks and no one really seems too concerned except for me. I do have Celiacs as well and that caused a rash as well. Been gluten free since Oct 2013. I can see white floaties in my urine and try to drink plenty of water. Ive read that the kidneys can be involved so Im scared. They say I don t have to avoid anything (eating, drinking and so on) but again Im concerned. What will be the next logical step for my new doctor so I can be prepared?
Mon, 7 Aug 2017
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Nephrologist 's  Response
Dear Patient,

do you have more details on your skin biopsy? Was I T IgA positive? Your kidneys may be affected by Schonlein Henoch purpura, ANCA vasculitis or a so called monoclonal gammopathy of renal significance. Do a complete immunological test including C3, C4, ANA, ENZA, IgG, IgA, IgM, Kappa and Lambda free light chains (serum) and total light chains in urines, SPEP, UPEP, total 24h proteinuria and albuminuria, HBV, HCV. This is a basic screening that gives us lots of information of what is going on. Then, if your renal function is good and you have only mild urinary signs of activity, you can delay a renal biopsy, that otherwise is mandatory. Let me know,
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What Causes Blood In Urine?

Dear Patient, do you have more details on your skin biopsy? Was I T IgA positive? Your kidneys may be affected by Schonlein Henoch purpura, ANCA vasculitis or a so called monoclonal gammopathy of renal significance. Do a complete immunological test including C3, C4, ANA, ENZA, IgG, IgA, IgM, Kappa and Lambda free light chains (serum) and total light chains in urines, SPEP, UPEP, total 24h proteinuria and albuminuria, HBV, HCV. This is a basic screening that gives us lots of information of what is going on. Then, if your renal function is good and you have only mild urinary signs of activity, you can delay a renal biopsy, that otherwise is mandatory. Let me know,