Green Urine in the Diaper: A Key Indicator for Diagnosing Hemolytic Anemia

A 23-month-old Japanese boy presented with fever, cough, and runny nose. His mother observed green urine in the diaper (Figure). Physical examination revealed conjunctival pallor and mild pharyngeal redness, but no hypertension, hepatosplenomegaly, edema, or weight gain. Laboratory examination revealed: white blood cell count: 20.0 × 109/L; hemoglobin (Hb):7.7 g/dL; platelet count:1.5 × 1011 /L; total bilirubin:1.41 mg/dL; direct bilirubin:0.09 mg/dL; lactate dehydrogenase:1353 IU/L; and creatinine:0.24 mg/dL.

Source: The Journal of Pediatrics - November 23, 2023 Category: Pediatrics Authors: Akinori Yaguchi, Mayu Nakagawa, Amane Endo, Junya Fujimura, Toshiaki Shimizu Tags: Insights and Images Source Type: research