PDF(Pubmed)
Abstract：
The timely diagnosis of xanthogranulomatous pyelonephritis (XGP), a rare and chronic kidney condition, along with its appropriate management, is a must to spare the kidney from end-stage renal disease (ESRD). The main hurdle in early diagnosis of most medical conditions, including XGP, is the absence of specific and characteristic symptoms, which, if present, would make the patient seek medical aid earlier and tempt the clinician to think of variable differential diagnosis. We hereby report a case of a 20-year-old male patient who had no specific symptoms suggestive of a renal pathology, which delayed him from considering consulting a healthcare professional, thereby making his condition diagnosed as XGP at a time when his involved kidney was hardly salvageable. Through this case report, we wish to humbly request clinicians all across the globe to kindly broaden their range of differential diagnoses while dealing with patients with nonspecific symptomatology, in order to have a better prognosis.
摘要：
及时诊断黄色肉芽肿性肾盂肾炎（XGP），一种罕见的慢性肾病,连同其适当的管理，是使肾脏免于终末期肾病（ESRD）的必要条件。大多数疾病早期诊断的主要障碍，包括XGP,是没有特定和特征性的症状，which,如果存在，会使患者更早地寻求医疗援助，并诱使临床医生考虑可变的鉴别诊断。我们在此报告一例20岁的男性患者，没有特定的症状提示肾脏病理，这耽误了他考虑咨询医疗保健专业人员，因此，在他的受累肾脏几乎无法挽救时，他的病情被诊断为XGP。通过这个案例报告,我们希望谦卑地要求世界各地的临床医生在处理非特异性症状的患者时，扩大他们的鉴别诊断范围，以便有更好的预后。
