title: Diffuse xanthogranulomatous pyelonephritis in a patient with myotonic dystrophy and cerebral palsy.
abstract: Xanthogranulomatous pyelonephritis (XGP), a morphological and clinical variant of chronic pyelonephritis, is an uncommon disease in children. It is characterized by the destruction of the renal parenchyma and replacement by granulomatous tissue containing foamy lipid-laden macrophages and is classified into diffuse and focal XGP. We present a case of diffuse XGP in a child with myotonic dystrophy complicated by cerebral palsy and discuss the importance of correct diagnosis and preoperative management to reduce inflammation and improve malnutrition associated with the disease.
authors.affiliation: Department of Pediatric Surgery, Dokkyo University School of Medicine, Koshigaya Hospital, Koshigaya, Japan.
authors.forename: Hajime
authors.initials: H
authors.lastname: Takayasu
authors.forename: Yuki
authors.initials: Y
authors.lastname: Ishimaru
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Kisaki
authors.forename: Hideo
authors.initials: H
authors.lastname: Nakai
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Ueda
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ikeda
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000473:pathology; D009223:Myotonic Dystrophy / Q000150:complications*; D009392:Nephrectomy; D011705:Pyelonephritis, Xanthogranulomatous / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed