| A Case of Xanthogranulonatous Pyelinephritis with Idiopathic Hypercalciruia in a Child |
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Young Jun Kim, Hyun Joo Kwak, Keun Haeng Cho, Kee Hwan Yoo, Young Sook Hong, Soon Kyum Kim |
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Depatment of Pediatrics, College of Medicine, Korea Universty, Seoul, Korea |
| 고칼슘뇨증을 동반한 소아 황색 육아종성 신우신염 1례 |
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김영준, 곽현주, 조근행, 유기환, 홍영숙, 김순겸 |
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고려대학교 의과대학 소아과학교실 |
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| Abstract |
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Xanthogranulomatous pyelonephritis in childhood is a rare chronic pyelonephritis often assodiated with calculi of urinary tract obstruction, with a clinical presentation of renal mass. A 3-year old boy was admitted to Korea University Hospital complaining of intermittent fever and palpable mass at right upper quadrant of the abdomen. The CBC revealed increased ESR and the finding of iron deficientcy anemia. Proteus mirabilis was cultured form the urine. We found that idiopathic hypercalciuria was affceted also. Intravenous pyelogram. Ultrasonogram and abdominal computerized tomogrhapy demonstrated a multiple cystic lesion with renal calculi at upper and lower pole of right kidney. Right nephrectomy was performed under the suspicion of the renal abscess with renal stone. Postoperatively microscopic examination revealed parencymal destruction with infiltration of foamy phagocytes, giant cells, and plasma cells. In conclusion, we experienced a case of xanthogranulomatous pyelonephritis with idiopathic hypercalcirria in a child. So, we report it with a review of literature. |
| Key Words:
Xantogranulomatous pyelonephritis, Idiopathic hypercalciuria |
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