Journal List > Korean J Urogenit Tract Infect Inflamm > v.8(2) > 1059918

Baik, Kim, and Lim: Malakoplakia in the Urinary Bladder

Abstract

Malakoplakia is a rare chronic granulomatous disease, which was originally described in the urinary bladder, but can involve many other organs and soft tissues. Malakoplakia is often associated with immunosuppression or immunodeficiency and is believed to be caused by an alternation in the bacterial phagocytic system. Histologically, the presence of Michaelis-Gutmann bodies is pathognomonic. We report on a case of malakoplakia of the bladder in a 62-year-old female.

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Fig. 1.
Cystourethroscopy revealed multiple, soft, yellow plaques on the entire wall of the bladder.
kjutii-8-125f1.tif
Fig. 2.
Michaelis-Gutmann body (arrows) (×400).
kjutii-8-125f2.tif
Fig. 3.
Cystourethroscopy still revealed the presence of yellow mucosal lesions but their number and size was decreased.
kjutii-8-125f3.tif
Fig. 4.
No lesions were seen on a cystourethroscopy.
kjutii-8-125f4.tif
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