一名患有系统性红斑狼疮的免疫抑制患者发生的罕见黄色肉芽肿性肾盂肾炎病例。

An unusual case of xanthogranulomatous pyelonephritis in an immunosuppressed patient with systemic lupus erythematosus.

作者信息

Jindal Lokesh, Kumar Atul, Aron Manju, Wadhwa Pankaj, Aron Monish

机构信息

Department of Urology, All India Institute of Medical Sciences, 110029 New Delhi, India.

出版信息

Int Urol Nephrol. 2007;39(1):15-8. doi: 10.1007/s11255-006-6669-0.

DOI:10.1007/s11255-006-6669-0

PMID:17238048

Abstract

Xanthogranulomatous pyelonephritis (XGP) is invariably associated with urinary tract obstruction, infection and nephrolithiasis. We report an unusual case of XGP occurring in an immunosuppressed patient in the absence of either urinary obstruction or nephrolithiasis, presenting as a diagnostic dilemma, and highlighting the possible role of glucocorticoid immunosuppression towards its pathogenesis.

摘要

黄色肉芽肿性肾盂肾炎（XGP）总是与尿路梗阻、感染和肾结石相关。我们报告了一例罕见的XGP病例，该病例发生在一名免疫抑制患者身上，既没有尿路梗阻也没有肾结石，这带来了诊断难题，并突出了糖皮质激素免疫抑制在其发病机制中可能发挥的作用。