Bilateral calcified ureteral stenosis in eosinophilic granulomatosis with polyangitis

Masaki Itagane; Hiroyuki Yano; Mitsuyo Kinjo

doi:10.1136/bcr-2019-231813

Bilateral calcified ureteral stenosis in eosinophilic granulomatosis with polyangitis

BMJ Case Rep. 2019 Nov 5;12(11):e231813. doi: 10.1136/bcr-2019-231813.

Authors

Masaki Itagane¹, Hiroyuki Yano¹, Mitsuyo Kinjo²

Affiliations

¹ Department of Medicine, Division of Rheumatology, Okinawa Chubu Hospital, Uruma, Japan.
² Department of Medicine, Division of Rheumatology, Okinawa Chubu Hospital, Uruma, Japan kinjomitsuyo@gmail.com.

Abstract

Ureteral calcification is a rare complication of systemic vasculitis. Bilateral ureteral calcification in a patient with eosinophilic granulomatosis with polyangitis led to obstructive uropathy. A combination of immunosuppressive therapy and ureteral reconstruction successfully restored kidney function.

Keywords: acute renal failure; vasculitis.

Publication types

Case Reports

MeSH terms

Abdominal Pain / diagnostic imaging
Adult
Calcinosis / diagnosis*
Calcinosis / physiopathology
Calcinosis / surgery
Combined Modality Therapy
Cyclophosphamide / therapeutic use*
Granulomatosis with Polyangiitis / complications
Granulomatosis with Polyangiitis / diagnosis*
Granulomatosis with Polyangiitis / pathology
Granulomatosis with Polyangiitis / therapy
Humans
Immunosuppressive Agents / therapeutic use*
Male
Muscle Weakness / diagnostic imaging
Plastic Surgery Procedures
Treatment Outcome
Ureteral Diseases / diagnosis*
Ureteral Diseases / physiopathology
Ureteral Diseases / surgery
Ureteral Obstruction / diagnosis*
Ureteral Obstruction / physiopathology
Ureteral Obstruction / surgery

Substances

Immunosuppressive Agents
Cyclophosphamide