title: [A case report of eosinophilic cystitis treated with oral suplatast tosilate].
abstract: A 61-year-old female was referred to our hospital presenting with micturition pain and urinary frequency, which was not relieved by antibiotics. A cystoscopic examination revealed an erosion, reddening and edematous lesion in the left bladder wall. Pathological examination of transurethral biopsy showed erosion and cystitis. After biopsy, micturition pain and urinary frequency became worse. The pathological examination was reviewed, and the diagnosis of eosinophilic cystitis was made. Administration of a corticosteroid had provided a short duration of relief, but her symptoms recurred within the five weeks of treatment. Therefore, she was treated with a combination of corticosteroid and suplatast tolilate, followed by monotherapy with suplatast tolilate. The relief of the symptoms by suplatast to lilate therapy continued for five months. However, the symptoms relapsed. Re-administration of steroidal agents was considered, but the patient suffered from uncontrolled diabetes. Therefore, she was treated with a combination of suplatast tosilate, anti-allergic drugs and mirabegron. Fourteen months after treatment with suplatast tosilate, no disease progression was noted.
authors.affiliation: The Department of Urology, Kinan Hospital.
authors.forename: Tomomi
authors.initials: T
authors.lastname: Kuramoto
authors.affiliation: Senzaki Urology Clinic.
authors.forename: Hiroya
authors.initials: H
authors.lastname: Senzaki
authors.affiliation: The Department of Urology, Kinan Hospital.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Inagaki
mesh_terms: D000284:Administration, Oral; D018926:Anti-Allergic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001190:Arylsulfonates / Q000008:administration & dosage / Q000627:therapeutic use*; D003556:Cystitis / Q000188:drug therapy* / Q000276:immunology / Q000473:pathology; D004804:Eosinophils / Q000276:immunology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013452:Sulfonium Compounds / Q000008:administration & dosage / Q000627:therapeutic use*
chemical_list: D018926:Anti-Allergic Agents; D001190:Arylsulfonates; D013452:Sulfonium Compounds; C073028:suplatast tosilate