A case report of bladder malakoplakia in systemic sclerosis patient
10.3760/cma.j.cn112330-20201115-00775
- VernacularTitle:系统性硬化症合并膀胱软斑病1例报告
- Author:
Shan LIU
1
;
Haibo WANG
;
Wei WEI
;
Xingjin JIANG
;
Jinyi YANG
Author Information
1. 大连医科大学附属大连市友谊医院泌尿外科，大连 116001
- Keywords:
Scleroderma, systemic;
Bladder malakoplakia;
Pathogeny;
Diagnosis
- From:
Chinese Journal of Urology
2022;43(1):73-74
- CountryChina
- Language:Chinese
-
Abstract:
Systemic sclerosis is a rare and complex autoimmune disease, and malakoplakia is a rare chronic granulomatous inflammatory disease. Systemic sclerosis combined with malakoplakia is extremely rare. Diagnosis is difficult before surgery. It is easy to misdiagnose bladder malakoplakia as bladder tumor. This paper reports a middle-aged female patient with systemic sclerosis complicated with bladder malakoplakia. The main clinical manifestations were hematuria and bladder irritation, accompanied by severe diarrhea. Transurethral resection of bladder tumor was performed. Postoperative pathology proved that it was bladder malakoplakia. After the surgery, she continued to take low-dose prednisolone and methotrexate in the treatment of systemic sclerosis. The patient was followed up for 6 months.Transurethral cystoscopy was performed twice, and there was no recurrence.
