Would you perform a kidney biopsy to rule out other etiologies before diagnosing Loin Pain Hematuria Syndrome in a patient with persistent microscopic hematuria, left flank pain, no proteinuria, normal renal function, normal cystoscopy, and normal imaging?

Answer from: at Community Practice

Probably not unless something changes.

Answer from: at Academic Institution

Probably not. because even if they turn out to have something like IgA nephropathy or thin basement membrane disease, I would not do anything different. Genetic testing, since it is noninvasive, may be more reasonable.

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Would you perform a kidney biopsy to rule out other etiologies before diagnosing Loin Pain Hematuria Syndrome in a patient with persistent microscopic hematuria, left flank pain, no proteinuria, normal renal function, normal cystoscopy, and normal imaging?

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