Sarkis P, Nawfal G, Mouaccadieh L, Daou I, Zanati M
Service d'urologie, hôpital Saint-Joseph, rue Saint-Joseph, Dora, Beyrouth, Liban.
Prog Urol. 2012 Nov;22(15):970-3. doi: 10.1016/j.purol.2012.07.015. Epub 2012 Sep 3.
Malakoplakia is an unusual chronic inflammation characterized macroscopically by pseudotumoral lesions and histologically by the presence of "Michaelis-Gutman" bodies in macrophages. It affects principally the urinary tract and is probably secondary to an unusual macrophagic reaction to recurrent urinary tract infections. If the bladder is the most frequent site of occurrence, the ureters can very rarely be affected resulting in urinary tract obstruction. We presented here a unique presentation of renal, bilateral ureteral and bladder malakoplakia.
软斑病是一种罕见的慢性炎症,在宏观上表现为假瘤性病变,在组织学上表现为巨噬细胞中存在“米氏小体”。它主要影响泌尿系统,可能是对复发性尿路感染的一种异常巨噬细胞反应所致。如果膀胱是最常见的发病部位,输尿管很少受到影响,从而导致尿路梗阻。我们在此展示了一例肾、双侧输尿管及膀胱软斑病的独特病例。