Korean J Nephrol.  2008 Jan;27(1):137-140.

A Case of Bilateral Xanthogranulomatous Pyelonephritis with Renal Failure

Affiliations
  • 1Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. khhan@ilsanpaik.ac.kr
  • 2Department of Pathology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Abstract

Xanthogranlomatous pyelonephritis is a rare chronic inflammatory renal disease. Its clinical and radiological findings resemble other renal parenchymal diseases, such as a renal abscess or renal cell carcinoma. Only a histologic examination can confirm xanthogranulomatous pyelonephritis. It usually presents unilaterally and displays relatively normal renal function. Bilateral xanthogranulomatous pyelonephritis is extremely rare. The renal function of bilateral xanthogranulomatous pyelonephritis is usually normal at the time of diagnosis, but progresses to end stage renal failure as the disease progresses. We experienced a case of bilateral xanthogranulomatous pyelonephritis, and its initial manifestation was renal failure. We report this case with a review of the literatures.

Keyword

Xanthogranulomatous pyelonephritis; Renal failure

MeSH Terms

Abscess
Carcinoma, Renal Cell
Pyelonephritis
Pyelonephritis, Xanthogranulomatous
Renal Insufficiency
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