A Case of Bilateral Xanthogranulomatous Pyelonephritis
with Renal Failure

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

최윤호1·최원호1·한상엽1·한금현1·김한성2

인제대학교 의과대학 일산백병원 내과1, 병리과2

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.

Key Words: Xanthogranulomatous pyelonephritis, Renal failure