Exercise-Related Hematuria-Reply

Arthur J. Siegel, MD
JAMA. 1979;242(15):1610. doi:10.1001/jama.1979.03300150016008.
Text Size: A A A
Published online


In Reply.—  Dr Whisnant's letter speaks directly to the problem of differentiating between "benign" hematuria after exercise and hematuria that is secondary to the organic pathological condition of the urologic system. I agree that features of the hematuria itself and the presence or absence of the symptoms are unreliable in establishing this differential.The clinician must exercise clinical judgment in deciding which patients with hematuria should be subjected to invasive testing. Exercise-related hematuria appears to be common, self-limited, and resultant from some form of mucosal trauma to the lower urinary tract. Dr Whisnant agrees that such cases are common. In our study we found 18% of marathoners positive for some degree of hematuria. If 40,000 runners participate in marathons in the coming year, as indicated by projections from the National Running Data Center, then as many as 8,000 persons might be expected to manifest this abnormality.I cannot agree that


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.