XANTHOGRANULOMATOUS PYELONEPHRITIS IN PEDIATRIC-PATIENTS
XANTHOGRANULOMATOUS PYELONEPHRITIS IN PEDIATRIC-PATIENTS
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DOI：
10.1016/s0022-5347(01)67376-2
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发表时间：
1995-06-01
影响因子：
6.6
通讯作者：
KHOURY, AE
中科院分区：
文献类型：
--
作者：
MATTHEWS, GJ;MCLORIE, GA;KHOURY, AE
我们在27例终末期肾盂肾炎行肾切除术中观察到5例（18.5%）黄色肉芽肿性肾盂肾炎。两名患者为5个月或更小，正常出生体重和产品的无并发症的足月妊娠。在所有病例中，临床病史和结果均与黄色肉芽肿性肾盂肾炎一致，但仅1例前瞻性怀疑该诊断。我们的观察，最近的文献支持，表明黄色肉芽肿性肾盂肾炎可能比以前报道的更常见。此外，这一过程在儿科人群中的临床和病理表现似乎与成人没有什么不同。需要根据最近的数据重新评估这一过程的真实发生率和假定的长期性。
We observed xanthogranulomatous pyelonephritis in 5 of 27 nephrectomies (18.5%) performed for end stage pyelonephritis. Two patients were 5 months old or younger, of normal birth weight and the products of uncomplicated full-term pregnancies. In all cases clinical histories and findings were consistent with xanthogranulomatous pyelonephritis yet this diagnosis was suspected prospectively in only 1 case. Our observations, supported by recent literature, suggest that xanthogranulomatous pyelonephritis may occur more commonly than previously reported. In addition, the clinical and pathological expression of this process in the pediatric population appears to be no different from that in adults. The true incidence and presumed chronicity of this process need to be reevaluated in light of recent data.