Details

Autor(en) / Beteiligte

• Diez de los Ríos, Ana
• Marquez Moreno, Antonio Javier
• Ortega Jiménez, María Victoria
• Garcia Carrasco, Eva
• Alferez Alferez, Maria Jesus
• Aguilar Cuevas, Rafael
• Villalobos Martin, Jose Antonio
• Matilla Vicente, Alfredo
• Acebal Blanco, Maria Mercedes

Titel

Bilateral kidney pseudotumor due to sarcoidosis: a radiological study case

Ist Teil von

• Archivos españoles de urología, 2012-07, Vol.65 (6), p.629

Ort / Verlag

Spain

Erscheinungsjahr

2012

Quelle

MEDLINE

Beschreibungen/Notizen

• To report one case of bilateral kidney pseudotumor due to sarcoidosis in a 75 year-old man with prostatic carcinoma and hypertrophic pachymeningitis. Renal Doppler, body CT, CT-guided renal biopsy, blood analysis including angiotensin converting enzyme (ACE), blood levels and test-treatment (corticosteroid response) were performed. The radiological studies performed showed bilateral kidney masses and pulmonary calcified hilar adenopathies. Blood analysis showed renal failure and increased ACE levels. Renal biopsy showed non-caseating granulomas. Neurological symptoms and renal failure improved with corticosteroid therapy. Bilateral kidney pseudotumor due to sarcoidosis is a rare pathology. Sarcoidosis must be included in the differential diagnosis work up of patients with inflammatory or autoimmune disease and bilateral kidney pseudotumors. Radiological findings of kidney sarcoidosis are quite unspecific. Histological diagnosis with CT guided biopsy or US guided biopsy of kidney masses may be performed.