Hematuria in alcohol poisoning

Q: Hematuria is more common in? (select one) 

A) methanol poisoning 
B) ethylene glycol poisoning


Answer: B

Ethylene glycol toxicity can be divided into three phases: 

• CNS toxicity phase 
• Cardiopulmonary toxicity phase 
• Renal toxicity phase 

Although the presence of calcium oxalate crystals in the urine may appear very early in ethylene glycol toxicity - flank pain, oliguria, proteinuria, hematuria, crystalluria, and elevated serum BUN and creatinine happened very late in the poisoning.

#toxicology
#nephrology


Reference:

Agency for Toxic Substances and Disease Registry, 4770 Buford Hwy NE, Atlanta, GA 30341: 

https://www.atsdr.cdc.gov/csem/csem.asp?csem=12&po=9 (last retrieved on August 4, 2019)