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양측성 황색육아종성 신우신염에 의한 신부전증 1예 |
정재열 , 이상준 , 윤종구 , 이성원 , 이종민 , 진동찬 , 김석영 , 방병기 |
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Abstract |
Xanthogranulomatous pyelonephritis is a rare di- sease that is a variant form of chronic pyeloneph- ritis. It affects usually middle aged women and unilateral kidney. Bilateral xanthogranulomatous pye- lonephritis is extremly rare. 8 cases of bilateral xanthogranulomatous pyelonephritis were reported in the world. Its etiology and pathogenesis have been unclear. Some important precipitating factors, such as chronic urinary tract infection, obstructive uro- pathy, urinary calculi, are suggested to play essential roles, Its confirmative diagnosis is achieved by pathologic finding. At light microscope, lipid-laden macrophage called as foamy cell and multinucleated glant cell are characteristic findings. We experieced a case of renal failure due to bilateral xantho- granulornatous pyelonephritis in a 12 year-old girl and reported it with a review of the literature. |
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