Korean J Fam Med.  2011 Sep;32(6):367-372. 10.4082/kjfm.2011.32.6.367.

Malakoplakia of the Kidney Extending to the Descending Colon in a Patient with Secondary Adrenal Insufficiency: A Case Report

Affiliations
  • 1Department of Family Medicine, Yonsei University College of Medicine, Seoul, Korea. kanghc@yuhs.ac
  • 2Department of Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea.

Abstract

Malakoplakia is an uncommon but distinctive type of chronic granulomatous inflammation that occurs most commonly in the genitourinary tract, especially the urinary bladder. Most patients have associated conditions characterized by some degree of immunosuppression, as seen in solid-organ transplants, autoimmune diseases requiring steroid use, chemotherapy, chronic systemic diseases, alcohol abuse and poorly controlled diabetes. We report an unusual case of the renal malakoplakia that involved the perirenal space, extending to the descending colon in a 65-year-old Korean woman with secondary adrenal insufficiency and diabetes mellitus.

Keyword

Malakoplakia; Adrenal Insufficiency; Diabetes Mellitus; Korea

MeSH Terms

Adrenal Insufficiency
Aged
Alcoholism
Autoimmune Diseases
Colon, Descending
Diabetes Mellitus
Female
Humans
Immunosuppression
Inflammation
Kidney
Korea
Malacoplakia
Transplants
Urinary Bladder
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