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KMID : 0357919770110040385
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Korean Journal of Pathology
1977 Volume.11 No. 4 p.385 ~ p.392
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One Case of Xanthogranulomatous Pyelonephritis.
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김정예(金貞禮)/Jeong Rae Kim
박문향(朴文香)/박효숙(朴孝淑)/Moon Hyang Park/Hyo Sook Park
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Abstract
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Xanthogranulomatous pyelonephritis is a rare variety of chronic pyelonephritis and
characterized pathologically by extensive destruction of renal parenchyme with presence
of granulomas, abscesses, myriads of lipid-laden macrophages(foam cells), plasma cells,
and lymphocytes, and is involved virtually always unilateral kidney. It's etiology and
pathogenesis are unclear but four possible factors are suggested:
1. an abnormality in lipid metabolism.
2. previous in effective antibiotic therapy for a relatively benign urinary tract
infection.
3. a specific offending infectious agent.
4. obstruction of the urinary tract at some level.
We have recently experienced one case of Xanthogranulomatous pyelonephritis in 23
year old korean female.
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