Korean Journal of Nephrology 2008;27(1):137-140.
A Case of Bilateral Xanthogranulomatous Pyelonephritis with Renal Failure
Yun-Ho Choi, M.D.1, Won-Ho Choi, M.D.1, Sang-Youb Han, M.D.1 Kum Hyun Han, M.D.1 and Han Sung Kim, M.D.2
Department of Internal Medicine1
Department of Pathology2
Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
증례 : 신부전으로 발현된 양측성 황색육아종성 신우신염 1예
인제대학교 의과대학 일산백병원 내과1, 병리과2
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.
Key Words: Xanthogranulomatous pyelonephritis, Renal failure

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