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Hematuria, benign familial, 2(BFH2)

MedGen UID:
1841057
Concept ID:
C5830421
Disease or Syndrome
Synonym: BFH2
 
Gene (location): COL4A3 (2q36.3)
 
Monarch Initiative: MONDO:0958186
OMIM®: 620320

Definition

Benign familial hematuria (BFH) is an autosomal dominant condition manifest as nonprogressive isolated microscopic hematuria that does not result in renal failure. It is characterized pathologically by thinning of the glomerular basement membrane (GBM), and can be considered the mildest end of the spectrum of renal diseases due to type IV collagen defects of the basement membrane. The most severe end of the spectrum is represented by Alport syndrome (see 301050), which results in end-stage renal failure and may be associated with hearing loss and ocular anomalies (review by Lemmink et al. (1996)). For a discussion of genetic heterogeneity of BFH, see BFH1 (141200). [from OMIM]

Clinical features

From HPO
Proteinuria
MedGen UID:
10976
Concept ID:
C0033687
Finding
Increased levels of protein in the urine.
Microscopic hematuria
MedGen UID:
65997
Concept ID:
C0239937
Finding
Microscopic hematuria detected by dipstick or microscopic examination of the urine.
Abnormal glomerular basement membrane morphology
MedGen UID:
1786252
Concept ID:
C5539478
Anatomical Abnormality
Any abnormal sttructure of the glomerular basement membrane.
Sensorineural hearing loss disorder
MedGen UID:
9164
Concept ID:
C0018784
Disease or Syndrome
A type of hearing impairment in one or both ears related to an abnormal functionality of the cochlear nerve.

Professional guidelines

PubMed

Jimbo M
Prim Care 2010 Sep;37(3):461-72, vii. Epub 2010 Jun 20 doi: 10.1016/j.pop.2010.04.006. PMID: 20705193
Ruska KM, Partin AW, Epstein JI, Kahane H
Urology 1999 Jun;53(6):1179-83. doi: 10.1016/s0090-4295(99)00020-5. PMID: 10367849
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Recent clinical studies

Etiology

Langan RC
FP Essent 2021 Apr;503:18-22. PMID: 33856179
Furlano M, Martínez V, Pybus M, Arce Y, Crespí J, Venegas MDP, Bullich G, Domingo A, Ayasreh N, Benito S, Lorente L, Ruíz P, Gonzalez VL, Arlandis R, Cabello E, Torres F, Guirado L, Ars E, Torra R
Am J Kidney Dis 2021 Oct;78(4):560-570.e1. Epub 2021 Apr 7 doi: 10.1053/j.ajkd.2021.02.326. PMID: 33838161
Peterson LM, Reed HS
Prim Care 2019 Jun;46(2):265-273. Epub 2019 Apr 1 doi: 10.1016/j.pop.2019.02.008. PMID: 31030828
Jimbo M
Prim Care 2010 Sep;37(3):461-72, vii. Epub 2010 Jun 20 doi: 10.1016/j.pop.2010.04.006. PMID: 20705193
Pescucci C, Longo I, Bruttini M, Mari F, Renieri A
J Nephrol 2003 Mar-Apr;16(2):314-6. PMID: 12768082

Diagnosis

Furlano M, Martínez V, Pybus M, Arce Y, Crespí J, Venegas MDP, Bullich G, Domingo A, Ayasreh N, Benito S, Lorente L, Ruíz P, Gonzalez VL, Arlandis R, Cabello E, Torres F, Guirado L, Ars E, Torra R
Am J Kidney Dis 2021 Oct;78(4):560-570.e1. Epub 2021 Apr 7 doi: 10.1053/j.ajkd.2021.02.326. PMID: 33838161
Tadros NN, Conlin MJ
Can J Urol 2021 Feb;28(1):10510-10515. PMID: 33625340
Peterson LM, Reed HS
Prim Care 2019 Jun;46(2):265-273. Epub 2019 Apr 1 doi: 10.1016/j.pop.2019.02.008. PMID: 31030828
Lancet 1988 Sep 3;2(8610):549-50. PMID: 2900928
McConville JM, McAdams AJ
J Pediatr 1966 Aug;69(2):207-14. doi: 10.1016/s0022-3476(66)80321-9. PMID: 5949931

Therapy

Tadros NN, Conlin MJ
Can J Urol 2021 Feb;28(1):10510-10515. PMID: 33625340
Haas M
Arch Pathol Lab Med 2006 May;130(5):699-706. doi: 10.5858/2006-130-699-TGBMNI. PMID: 16683888
Ruska KM, Partin AW, Epstein JI, Kahane H
Urology 1999 Jun;53(6):1179-83. doi: 10.1016/s0090-4295(99)00020-5. PMID: 10367849
Hoy WE, Megill DM, Hughson MD
Am J Kidney Dis 1987 Jun;9(6):485-96. doi: 10.1016/s0272-6386(87)80075-6. PMID: 3591794

Prognosis

Mastrangelo A, Madeira C, Castorina P, Giani M, Montini G
Nephrol Dial Transplant 2022 Nov 23;37(12):2398-2407. doi: 10.1093/ndt/gfab334. PMID: 35090027
Haas M
Arch Pathol Lab Med 2009 Feb;133(2):224-32. doi: 10.5858/133.2.224. PMID: 19195966
Pescucci C, Longo I, Bruttini M, Mari F, Renieri A
J Nephrol 2003 Mar-Apr;16(2):314-6. PMID: 12768082
Saborio P, Scheinman J
Curr Opin Pediatr 1998 Apr;10(2):174-83. doi: 10.1097/00008480-199804000-00011. PMID: 9608896
Lancet 1988 Sep 3;2(8610):549-50. PMID: 2900928

Clinical prediction guides

Togashi R, Tamura Y, Arai S, Asakawa S, Yamazaki O, Uchida S, Shibata S, Fujigaki Y
Int Urol Nephrol 2023 Mar;55(3):749-758. Epub 2022 Sep 26 doi: 10.1007/s11255-022-03373-4. PMID: 36155873
Mastrangelo A, Madeira C, Castorina P, Giani M, Montini G
Nephrol Dial Transplant 2022 Nov 23;37(12):2398-2407. doi: 10.1093/ndt/gfab334. PMID: 35090027
Furlano M, Martínez V, Pybus M, Arce Y, Crespí J, Venegas MDP, Bullich G, Domingo A, Ayasreh N, Benito S, Lorente L, Ruíz P, Gonzalez VL, Arlandis R, Cabello E, Torres F, Guirado L, Ars E, Torra R
Am J Kidney Dis 2021 Oct;78(4):560-570.e1. Epub 2021 Apr 7 doi: 10.1053/j.ajkd.2021.02.326. PMID: 33838161
Deltas C, Gale D, Cook T, Voskarides K, Athanasiou Y, Pierides A
Adv Exp Med Biol 2013;735:189-96. doi: 10.1007/978-1-4614-4118-2_12. PMID: 23402027
Monga G, Mazzucco G, Castello R
Virchows Arch A Pathol Anat Histopathol 1985;405(4):483-96. doi: 10.1007/BF00737174. PMID: 3920820

Recent systematic reviews

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