• Rev Med Interne · Jan 2022

    [Abnormal urine color assessment: The urine wheel].

    • Edouard Flamarion, Constance Reichert, Caroline Sayegh, David de Saint Gilles, Romane Bariseel, Jean Baptise Arnoux, Caroline Schmitt, Antoine Poli, Alexandre Karras, Jacques Pouchot, Geoffrey Cheminet, and Marie Aude Penet.
    • Hôpital Européen Georges Pompidou, Service de médecine interne, APHP-Centre, Université de Paris, France. Electronic address: edouard.flamarion@aphp.fr.
    • Rev Med Interne. 2022 Jan 1; 43 (1): 31-38.

    AbstractLooking at the urine for diagnostic purposes, once performed by ancient Egyptians, can still provide some valuable clues in modern medicine. Several diseases have been named after their associated urine color and this underlines the clinical value of visual urine inspection: blue diaper disease, purple urine bag syndrome, black urine disease or porphyria. Abnormal urine color could be challenging for the clinician: it may reveal neoplastic disease (urologic cancer; melanoma), cell lysis (rhabdomyolysis; hemolysis), infection (lymphatic filariasis; malaria), enzyme deficiency (porphyria; alkaptonuria), medication or food intake. In this article, we present the diagnostic approach, the mechanisms involved and the main causes of abnormal urine color.Copyright © 2021 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

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