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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Cylinduria is defined as the presence of renal casts in the urine.

Differential Diagnosis of Causes of Cylindruria

Common Causes

Causes by Organ System

Cardiovascular Right ventricular failure, Low cardiac output, Congestive Heart failure
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic No underlying causes
Drug Side Effect Nonsteroidal anti- inflammatory drugs, Bacitracin, Cisplatin, Amphotericin-B, Aminoglycoside
Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental Severe dehydration
Gastroenterologic No underlying causes
Genetic No underlying causes
Hematologic Myeloma, Hemolytic anemia, Hemoglobinuria
Iatrogenic Intravenously administered radiocontrast agent
Infectious Disease Sepsis, Purulent pylonephritis, Post-streptococcal glomerulonephritis, Leptospirosis, Bacterial endocarditis
Musculoskeletal/Orthopedic Rhabdomyolysis
Neurologic No underlying causes
Nutritional/Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic Renal cell carcinoma and other tumors, Myeloma
Ophthalmologic No underlying causes
Overdose/Toxicity Toxic nephropathy, Mercury toxicity, Ethylene glycol toxicity
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal/Electrolyte Renal vessel thrombosis , Renal tuberculosis, Renal trauma, Renal infarct, Proliferative glomerulonephritis, Polycystic kidney disease, Nephrotic syndrome, Nephritic syndrome, Necrotizing papillitis, Myoglobulinuria, Glomerulonephritis,Glomerular Sclerosis, Decreased renal perfusion, Chronic Renal Failure, Chronic Pyelonephritis, Chronic glomerulonephritis, Advanced chronic kidney disease, Acute tubular necrosis, Acute kidney injury (AKI), Acute interstitial nephritis, Acute glomerulonephritis
Rheumatology/Immunology/Allergy Wegener's granulomatosis, Systemic lupus erythematosus, Goodpasture’s syndrome, Collagen vascular disease
Sexual No underlying causes
Trauma Urinary tract injury
Urologic No underlying causes
Miscellaneous Vigorous exercise, Hypovolemia, Dehydration , Amyloidosis , After physical exercise, After kidney palpation

Causes in Alphabetical Order

[1] [2]


  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X