Cryofibrinogenic vasculitis mimicring urinary tuberculosis
Abstract
Cryofibrinogenic vasculitis (CV)-associated stenosing ureteritis represents a rare and severe complication of the disease. This article reports on a 40-year-old man with CV with skin and joints involvement who developed a unilateral stenosing ureteritis with atypical
manifestations, demanding left ureter stenting and right punctional nephrostomy. Typical for urogenital TB clinical and radiological findings and absence of the data about ureteric involvement in CV leading to the delay in diagnosis. Patient treated surgically: appendicocaecoureteroplasty with tubularisation of the caecum cap was performed. To clarify the clinical spectrum of this complication, an extensive review of the literature was performed. We emphasize that negative skin tests for TB control should make the diagnosis doubtful.
About the Authors
O. N. Zuban
ГБУЗ города Москвы «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
R. M. Chotchaev
ГБУЗ города Москвы «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
References
1. Баранов А.А. Cистемные васкулиты: современные стандарты диагностики и лечения // РМЖ. – 2005. – № 24. – С. 1577.
2. Грунд В.Д. Ошибки в диагностике туберкулеза органов мочеполовой системы. – М.: Медицина, 1975. – 160 с.
3. Зубань О.Н., Косяков Б.К. Хирургическая коррекция малого мочевого пузыря / под ред. Ю.Н. Левашева. – СПб.: «Стикс», 2011. – 227 с.
4. Комяков Б.К. Кишечная и аппендикулярная пластика мочеточников. – М. : ГЭОТАР-Медиа, 2015. – 416 с.
5. Ben Ghorbel I., Chebbi W., Zouari M. et al. Ureteral stenosis in Wegener’s granulomatosis. Case report // Presse Med. – 2006. – Vol. 35. – N. 11. – Pt. 1. – P. 1659-1663.
6. Bin Yoo, Hong Kyu Kim, Seung Won Choi, Hee Bom Moon. A case of polyarteritis nodosa with bilateral ureteral obstruction // Korean J. Intern. Med. – 1996. – Vol. 11. – N. 2. – P. 165–168.
7. Jasić M., Subat-Dezulović M., Nikolić H. et al. Henoch-Schönlein purpura complicated by appendicitis, intussusception and ureteritis // Coll. Antropol. – 2011. – Vol. 1. – P. 197-201.
8. Michaud M., Pourrat J. Cryofibrinogenemia // J. Clin. Rheumatol. – 2013. – Vol. 19. – N. 3. – P. 142-148.
9. Sergeant G., Slabbaert K., Werbrouck P. Recurrent flank pain caused by eosinophilic ureteritis mimicking urinary stone disease: a case report // Int. Urol. Nephrol. – 2004. – Vol. 36. – N. 1. – P. 23-25.
10. Siegenthaler G.M., Rizzi M., Bettinelli A. et al. Ureteral or vesical involvement in Henoch-Schönlein syndrome: a systematic review of the literature // Pediatr. Nephrol. – 2014. – Vol. 29. – N. 2. – P. 235-239.
11. Siomou E., Serbis A., Salakos C. et al. Masked severe stenosing ureteritis: a rare complication of Henoch-Schönlein purpura // Pediatr. Nephrol. – 2008. – Vol. 23. – N. 5. – P. 821-825.
Review
For citations:
Zuban O.N., Chotchaev R.M. Cryofibrinogenic vasculitis mimicring urinary tuberculosis. Tuberculosis and socially significant diseases. 2017;(2):64-68. (In Russ.)
Views:
20
Email this article 