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[Eosinophilic cystitis in children].

J C Hoeffel1, G De Miscault, B Aymard

  • 1Service de radiologie, Hôpital d'Enfants, Vandoeuvre-les-Nancy.

Journal D'Urologie
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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Eosinophilic cystitis, a rare condition mimicking bladder cancer, can cause urinary infections and ureteral obstruction. Prompt diagnosis via biopsy and specific treatment can lead to healing, even without parasitic infection.

Area of Science:

  • Pediatric Urology
  • Pathology
  • Infectious Diseases

Background:

  • Recurrent urinary infections in children can indicate underlying pathology.
  • Pseudotumoral forms of cystitis are rare and can mimic malignancy.
  • Ureteral obstruction in children necessitates thorough investigation.

Observation:

  • A 4-year-old boy presented with recurrent urinary infections and left ureterohydronephrosis.
  • Initial biopsies were required to exclude a malignant tumor.
  • The condition was diagnosed as eosinophilic cystitis.

Findings:

  • Eosinophilic cystitis presented as a pseudotumoral mass causing bladder inflammation and ureteral obstruction.
  • Anti-bilharzial treatment led to complete healing.
  • The patient did not have a history of bilharziasis (schistosomiasis).

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Implications:

  • Eosinophilic cystitis should be considered in the differential diagnosis of pediatric bladder masses and urinary tract infections.
  • Biopsy is crucial for accurate diagnosis, especially when initial findings are inconclusive.
  • Successful treatment with anti-bilharzial agents is possible even in non-parasitic cases, suggesting broader anti-inflammatory mechanisms.