[Macroscopic XXXX associated with sickle cell anemia trait: report of ten cases].

@entity1 @entity8 @entity1133 @entity7115 @entity158 @entity811
PURPOSE: Though currently asymptomatic, a sickle cell trait can be responsible for @entity8 with macroscopic @entity811 . METHODS: Ten @entity1 were admitted to our department with gross @entity811 in sickle trait. RESULTS: Six blacks @entity1 and four blacks @entity1 , aged from 17 to 53 years, had recurrent episodes of gross @entity811 with clots in five @entity1 with @entity158 in four @entity1 . Duration of gross @entity811 varied from two weeks to two years. Imaging findings were normal. Urinary concentration ability was abnormally low in all @entity1 but none had an impairement of the ability to dilute the urine or tubular dysfunction. Resolution of @entity811 was obtained by abundant and alkaline hydratation in three @entity1 . In six @entity1 , @entity7115 was successfully employed, with a complete (3/6) or partial (3/6) efficiency. In one last @entity1 , oral @entity1133 permitted a partial improvement. CONCLUSION: Combination of chemical and physical factors in renal medullary of sickle cell trait are responsible for gross @entity811 and impaired capacity to concentrate the urine. A cautious care must still be given to make this association a diagnostic of exclusion. Clinical is usually benign. When resting and alkaline hydration are not sufficient to resolve @entity811 , antifibrinolytic agents such as aprotinin, oral @entity1133 , urologic technical are sometimes necessary.
