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Published on: July 18, 2017
Xantogranulomatous Pyelonephritis in children.
M Ubetagoyena1, M Fernandez Martin, L Gondra Sangroniz
1Seccion de Nefrologia Pediatrica y radiolofia Pediatrica. Hospital Universitario Donostia. San Sebastian.Spain.
Xanthogranulomatous Pyelonephritis (XP) is rare in children. Early diagnosis and treatment are crucial to prevent severe kidney damage in pediatric cases.
Area of Science:
- Pediatric Nephrology
- Urologic Pathology
Background:
- Xanthogranulomatous Pyelonephritis (XP) is a rare chronic inflammatory renal disease.
- It typically results from prolonged urinary tract obstruction and infection.
- XP is infrequently diagnosed in pediatric patients.
Observation:
- Two pediatric cases of XP are presented.
- One child presented with cloudy urine and hypergammaglobulinemia.
- The other was diagnosed during ultrasound for kidney stones, with inflammation extending to surrounding structures.
Findings:
- Both patients exhibited mild proteinuria and hematuria.
- Renal function and infection markers were normal in both cases.
- Surgical nephrectomy led to the resolution of all observed alterations.
Implications:
- This case series highlights uncommon presentations of XP in children.
- A high index of suspicion is necessary for timely diagnosis and management.
- Prompt treatment is vital to mitigate renal and extra-renal damage severity.
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