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Chronic Pyelonephritis

Chronic Pyelonephritis By YALE J. KATZ, PH.D., M.D.2 AND STANLEY Los Angeles, California R. BOURDO, M.D.3 Department of Medicine, University of Southern California, This review might better be titled, "Selected Topics in Chronic Pye­ lonephritis," since space limitations prevent treatment of several subtopics and numerous worthy studies. Several symposia, partly or wholly devoted to pyelonephritis, were held in recent years; their proceedings are in print or in press and are listed in the bibliography section of this paper. An excel­ lent review appeared in 1960 ( 1). PATHOLOGY Pathological criteria of chronic pyelonephritis have been re-examined by Kimmelstiel et al. (2) who conclude that an active pleomorphic inflamma­ tory infiltrate, particularly if accompanied by polymorphonuclear cells, is the safest criterion for the diagnosis of chronic pyelonephritis; other changes may be mimicked by other causes, particularly vascular disease. Thyroid­ like areas are not specific according to these authors as they may be seen in vascular disease, renal hypoplasia and dysplasia, and adjacent to expanding lesions such as renal cysts and tumors. Some marks by which these may be distinguished from pyelonephritis are noted. In 1959, Kimmelstiel (3) granted that periglomerular fibrosis in its proliferative stage with well-pre­ served glomerular tufts is http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annual Review of Medicine Annual Reviews

Chronic Pyelonephritis

Katz, Y J; Bourdo, S R
Annual Review of Medicine , Volume 13 (1) – Feb 1, 1962
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Publisher
Annual Reviews
Copyright
Copyright 1962 Annual Reviews. All rights reserved
Subject
Review Articles
ISSN
0066-4219
eISSN
1545-326X
DOI
10.1146/annurev.me.13.020162.002405
pmid
14454413
Publisher site
See Article on Publisher Site

Abstract

By YALE J. KATZ, PH.D., M.D.2 AND STANLEY Los Angeles, California R. BOURDO, M.D.3 Department of Medicine, University of Southern California, This review might better be titled, "Selected Topics in Chronic Pye­ lonephritis," since space limitations prevent treatment of several subtopics and numerous worthy studies. Several symposia, partly or wholly devoted to pyelonephritis, were held in recent years; their proceedings are in print or in press and are listed in the bibliography section of this paper. An excel­ lent review appeared in 1960 ( 1). PATHOLOGY Pathological criteria of chronic pyelonephritis have been re-examined by Kimmelstiel et al. (2) who conclude that an active pleomorphic inflamma­ tory infiltrate, particularly if accompanied by polymorphonuclear cells, is the safest criterion for the diagnosis of chronic pyelonephritis; other changes may be mimicked by other causes, particularly vascular disease. Thyroid­ like areas are not specific according to these authors as they may be seen in vascular disease, renal hypoplasia and dysplasia, and adjacent to expanding lesions such as renal cysts and tumors. Some marks by which these may be distinguished from pyelonephritis are noted. In 1959, Kimmelstiel (3) granted that periglomerular fibrosis in its proliferative stage with well-pre­ served glomerular tufts is

Journal

Annual Review of Medicine – Annual Reviews

Published: Feb 1, 1962

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