A Rare Case of Eosinophilic Cystitis in an Elderly Male Mimicking as Carcinoma Bladder

Prakash K. Prabhu, Ravikumar B. R., Mukthinath Gugri
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Abstract

Eosinophilic cystitis (EC) is a rare inflammatory condition, first described in 1960 by Brown & Palubinskas.[1] Aetiology remains unclear, although it has been associated with bladder wall injury/allergies in most cases. Histopathologic diagnosis includes transmural inflammation of the urinary bladder with eosinophilia.[2] The patient presents with a spectrum of urological symptoms such as urine frequency (67%), dysuria (62%), gross/microscopic hematuria (68%), suprapubic pain (49%) & urinary retention (10%).[3] In this rare case, an elderly male presenting with clinical & radiological features suggestive of Carcinoma (Ca) bladder ended with a diagnosis of eosinophilic cystitis post-biopsy.
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一例罕见的老年男性嗜酸性粒细胞性膀胱炎冒充膀胱癌
嗜酸性膀胱炎(EC)是一种罕见的炎症性疾病,由Brown和Palubinskas于1960年首次描述病因尚不清楚,尽管在大多数情况下与膀胱壁损伤/过敏有关。组织病理学诊断包括膀胱经壁炎症伴嗜酸性粒细胞增多患者表现出一系列泌尿系统症状,如尿频(67%)、排尿困难(62%)、肉眼/镜下血尿(68%)、耻骨上疼痛(49%)和尿潴留(10%)在这个罕见的病例中,一位老年男性表现为提示膀胱癌(Ca)的临床和放射学特征,活检后诊断为嗜酸性膀胱炎。
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