Korean J Fam Med 2011; 32(6): 367-372  
Malakoplakia of the Kidney Extending to the Descending Colon in a Patient with Secondary Adrenal Insufficiency: A Case Report
Soo Jin Jung, Hee Cheol Kang*, Jun Jeong Choi1
Department of Family Medicine, Yonsei University College of Medicine, Seoul, 1Department of Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea
Published online: September 20, 2011.
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Malakoplakia is an uncommon but distinctive type of chronic granulomatous infl ammation that occurs most commonly in the genitourinary tract, especially the urinary bladder. Most patients have associated conditions characterized by some degree of immunosuppression, as seen in solid-organ transplants, autoimmune diseases requiring steroid use, chemotherapy, chronic systemic diseases, alcohol abuse and poorly controlled diabetes. We report an unusual case of the renal malakoplakia that involved the perirenal space, extending to the descending colon in a 65-year-old Korean woman with secondary adrenal insuffi ciency and diabetes mellitus
Keywords: Malakoplakia; Adrenal Insuffi ciency; Diabetes Mellitus; Korea

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