Acute Lumbago and Sciatica as First Symptoms of Focal Xanthogranulomatous Pyelonephritis
Xanthogranulomatous pyelonephritis (XGP) is a rare inflammatory disease of the kidney, presenting in a diffuse or focal form. The preoperative diagnosis of XGP is made only in 10% of the cases because neither the clinical nor the radiological presentation are specific and could be confused with rena...
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| Veröffentlicht in: | Urologia internationalis 2002-01, Vol.69 (3), p.247-249 |
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| container_title | Urologia internationalis |
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| creator | Germani, Stefano Miano, Roberto Forte, Flavio Finazzi Agrò, Enrico Virgili, Guido Vespasiani, Giuseppe |
| description | Xanthogranulomatous pyelonephritis (XGP) is a rare inflammatory disease of the kidney, presenting in a diffuse or focal form. The preoperative diagnosis of XGP is made only in 10% of the cases because neither the clinical nor the radiological presentation are specific and could be confused with renal tumors, thus deserving the name of ‘great imitator’. We report a case of focal XGP in a middle-aged man presenting with acute lumbago and sciatica, an unusual clinical presentation. |
| doi_str_mv | 10.1159/000063938 |
| format | Article |
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The preoperative diagnosis of XGP is made only in 10% of the cases because neither the clinical nor the radiological presentation are specific and could be confused with renal tumors, thus deserving the name of ‘great imitator’. We report a case of focal XGP in a middle-aged man presenting with acute lumbago and sciatica, an unusual clinical presentation.</description><identifier>ISSN: 0042-1138</identifier><identifier>EISSN: 1423-0399</identifier><identifier>DOI: 10.1159/000063938</identifier><identifier>PMID: 12372898</identifier><identifier>CODEN: URINAC</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Acute Disease ; Biological and medical sciences ; Biopsy, Needle ; Case Report ; Follow-Up Studies ; Humans ; Interstitial nephritis ; Low Back Pain - diagnosis ; Low Back Pain - etiology ; Male ; Medical sciences ; Middle Aged ; Nephrectomy - methods ; Nephrology. Urinary tract diseases ; Nephropathies. Renovascular diseases. Renal failure ; Pyelonephritis, Xanthogranulomatous - complications ; Pyelonephritis, Xanthogranulomatous - diagnosis ; Pyelonephritis, Xanthogranulomatous - surgery ; Sciatica - diagnosis ; Sciatica - etiology ; Tomography, X-Ray Computed ; Treatment Outcome ; Ultrasonography, Doppler</subject><ispartof>Urologia internationalis, 2002-01, Vol.69 (3), p.247-249</ispartof><rights>2002 S. Karger AG, Basel</rights><rights>2002 INIST-CNRS</rights><rights>Copyright 2002 S. 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The preoperative diagnosis of XGP is made only in 10% of the cases because neither the clinical nor the radiological presentation are specific and could be confused with renal tumors, thus deserving the name of ‘great imitator’. We report a case of focal XGP in a middle-aged man presenting with acute lumbago and sciatica, an unusual clinical presentation.</description><subject>Acute Disease</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle</subject><subject>Case Report</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Interstitial nephritis</subject><subject>Low Back Pain - diagnosis</subject><subject>Low Back Pain - etiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrectomy - methods</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nephropathies. Renovascular diseases. Renal failure</subject><subject>Pyelonephritis, Xanthogranulomatous - complications</subject><subject>Pyelonephritis, Xanthogranulomatous - diagnosis</subject><subject>Pyelonephritis, Xanthogranulomatous - surgery</subject><subject>Sciatica - diagnosis</subject><subject>Sciatica - etiology</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Doppler</subject><issn>0042-1138</issn><issn>1423-0399</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0EFLwzAUB_AgipvTg2dBgqDgoZo0bZMcx3A6GCrMwW4lS9Ot2jY1SQ_79ma2uIvvEnj8eO_lD8AlRg8Yx_wR-UoIJ-wIDHEUkgARzo_BEKEoDDAmbADOrP1EyGNOT8EAh4SGjLMhWI1l6xSct9VabDQUdQYXshCukAIKC6eFsQ4udlXjdGWhzuFUS1HClajdVm-MqNtSV8Lp1sL3nSp1rZqtKVxhz8FJLkqrLvp3BJbTp4_JSzB_e55NxvNAkpi5QFFCEoxCFa9zRiOB_S8iyTEVOFGcc5JTipja9xiKEhWFMopVRrnEMaZRRkbgrpvbGP3dKuvSqrBSlaWolb8qpSGOY0yQh_cdlEZba1SeNqaohNmlGKX7GNO_GL297oe260plB9nn5sFtD4T1eeQ-CFnYgyM8Zozul9507kuYjTJ_YDl7_d2UNlnu0dW_qLvlB9Y9jX0</recordid><startdate>20020101</startdate><enddate>20020101</enddate><creator>Germani, Stefano</creator><creator>Miano, Roberto</creator><creator>Forte, Flavio</creator><creator>Finazzi Agrò, Enrico</creator><creator>Virgili, Guido</creator><creator>Vespasiani, Giuseppe</creator><general>Karger</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020101</creationdate><title>Acute Lumbago and Sciatica as First Symptoms of Focal Xanthogranulomatous Pyelonephritis</title><author>Germani, Stefano ; Miano, Roberto ; Forte, Flavio ; Finazzi Agrò, Enrico ; Virgili, Guido ; Vespasiani, Giuseppe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-e7336102e5bf874a19384c917a16e9993f7708e84c98046e42c45ed79c15174d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Acute Disease</topic><topic>Biological and medical sciences</topic><topic>Biopsy, Needle</topic><topic>Case Report</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Interstitial nephritis</topic><topic>Low Back Pain - diagnosis</topic><topic>Low Back Pain - etiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrectomy - methods</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nephropathies. Renovascular diseases. Renal failure</topic><topic>Pyelonephritis, Xanthogranulomatous - complications</topic><topic>Pyelonephritis, Xanthogranulomatous - diagnosis</topic><topic>Pyelonephritis, Xanthogranulomatous - surgery</topic><topic>Sciatica - diagnosis</topic><topic>Sciatica - etiology</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Doppler</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Germani, Stefano</creatorcontrib><creatorcontrib>Miano, Roberto</creatorcontrib><creatorcontrib>Forte, Flavio</creatorcontrib><creatorcontrib>Finazzi Agrò, Enrico</creatorcontrib><creatorcontrib>Virgili, Guido</creatorcontrib><creatorcontrib>Vespasiani, Giuseppe</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urologia internationalis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Germani, Stefano</au><au>Miano, Roberto</au><au>Forte, Flavio</au><au>Finazzi Agrò, Enrico</au><au>Virgili, Guido</au><au>Vespasiani, Giuseppe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Lumbago and Sciatica as First Symptoms of Focal Xanthogranulomatous Pyelonephritis</atitle><jtitle>Urologia internationalis</jtitle><addtitle>Urol Int</addtitle><date>2002-01-01</date><risdate>2002</risdate><volume>69</volume><issue>3</issue><spage>247</spage><epage>249</epage><pages>247-249</pages><issn>0042-1138</issn><eissn>1423-0399</eissn><coden>URINAC</coden><abstract>Xanthogranulomatous pyelonephritis (XGP) is a rare inflammatory disease of the kidney, presenting in a diffuse or focal form. The preoperative diagnosis of XGP is made only in 10% of the cases because neither the clinical nor the radiological presentation are specific and could be confused with renal tumors, thus deserving the name of ‘great imitator’. We report a case of focal XGP in a middle-aged man presenting with acute lumbago and sciatica, an unusual clinical presentation.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>12372898</pmid><doi>10.1159/000063938</doi><tpages>3</tpages></addata></record> |
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| ispartof | Urologia internationalis, 2002-01, Vol.69 (3), p.247-249 |
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| source | MEDLINE; Karger Journals Complete |
| subjects | Acute Disease Biological and medical sciences Biopsy, Needle Case Report Follow-Up Studies Humans Interstitial nephritis Low Back Pain - diagnosis Low Back Pain - etiology Male Medical sciences Middle Aged Nephrectomy - methods Nephrology. Urinary tract diseases Nephropathies. Renovascular diseases. Renal failure Pyelonephritis, Xanthogranulomatous - complications Pyelonephritis, Xanthogranulomatous - diagnosis Pyelonephritis, Xanthogranulomatous - surgery Sciatica - diagnosis Sciatica - etiology Tomography, X-Ray Computed Treatment Outcome Ultrasonography, Doppler |
| title | Acute Lumbago and Sciatica as First Symptoms of Focal Xanthogranulomatous Pyelonephritis |
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