In hematuria of glomerular origin the urine is characterized by the presence of all of the following except:: (A) Red cell casts, (B) Acanthocytes, (C) Crenated red cells, (D) Dysmorphic red cells
Answer is B. Answer is B (Acanthocytes): Acanthocytes are erythrocytes characterized by multiple spiny cytoplasmic protections (spur cells). These are seen as a consequence of abnormal lipid metabolism such us in severe liver disease and are not a feature of glomerular (renal disease). Haematuria with dysmorphic RBC 's cast are a characteristic feature of glomeulonephritis. (crenated RBC are a type of dysmorphic RBC's).