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Wilmington, NC
A 41-year-old female asked:

I have lupus recently i have been diagnosed with trace blood in urine. would this more likely be a urology or nephrology issue?

4 doctor answers9 doctors weighed in
Dr. William Lages
Rheumatology 68 years experience
Ask M.D..: Ask the Rheumatologist treating you. It could be due to several causes, some may be trivial. Good luck
Dr. Carrie Cannon
A Verified Doctoranswered
A US doctor answeredLearn more
Lupus first: I would rule out nephrology issuew connected with SLE with other studies such as renal function and urinary microscopy first. Having said that, people do have two different disease processes and ruling out renal stones, especially if there is a family history and other urinary tract issues is also important.
Dr. William Lages
Rheumatology 68 years experience
All Rheumatologists know about lupus nephritis and the rule outs.
Jun 14, 2015
Dr. Atul Singh
Nephrology and Dialysis 28 years experience
Nephrology : I would suggest seeing a nephrologist first and get a full work up if the kidneys are involved due to SLE. The nephrologist in most cases will determine if a urology input is needed.
Dr. William Lages
Rheumatology 68 years experience
All Rheumatologists know about lupus nephritis and its rule outs
Jun 14, 2015
Dr.
A Verified Doctoranswered
A US doctor answeredLearn more
Hematuria: Hi Natty, considering your history, i would see your primary care doctor or your rheumatologist first. They can do imaging which can determine whether this is from a kidney stone or something else. Urinary tract infections can cause this as well. However, with lupus, nephritis is common and a nephrologist would be appropriate for that. Hope that helps.

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Last updated Jul 12, 2020

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