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[Eosinophilic cystitis]
T Arana Navarro1, P Puyuelo del Val, L Plaza Mas
1Unidad de Nefrología Pediátrica, Hospital Infantil, Zaragoza.
Insights
Eosinophilic cystitis, a rare bladder inflammation, presented uniquely in two pediatric cases with urinary symptoms and masses. Diagnosis required anatomopathology, with varied outcomes despite treatment.
Area of Science:
- Pediatric Urology
- Pathology
Background:
- Eosinophilic cystitis is a rare inflammatory bladder condition.
- It can present with diverse urinary symptoms and physical findings.
Abstract:
We report two cases of eosinophilic cystitis in children of 11 months and 11 and a half year of age respectively. The presenting symptoms were the emision of mucosanguinolent filaments in the urine in one case and with lower urinary tract symptoms and macroscopic hematuria in the other. Physical examination revealed in one of them a round, tough and painful mass in the hypogastric area. In one case we found peripheral blood eosinophilia. They both showed in the Urinalysis albuminuria, pyuria and hematuria, with the presence of eosinophils in one of them. Macroscopic examination presented in the two cases a tumoral, mamelonne mass in the wall of the bladded. The diagnosis was anatomopathologic due to the demonstration of an inflammatory infiltration, primarily of eosinophils. The clinical course was unfavourable in the case an hemicystectomy was practicated and self-limited in the one only symptomatic treatment was used.