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Chronic paranphoritis
Last reviewed: 23.04.2024
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Chronic paranephritis (from the Greek raga - near, past, outside and nephritis, from the nephrds - kidney) is a chronic inflammation of the perennial fatty tissue.
Causes of the chronic paranephritis
Chronic paranephritis is caused by a prolonged inflammatory process in the peri-cellular tissue, arises as a complication of chronic calculous pyelonephritis, which occurs with frequent exacerbations, or serves as an outcome of acute. In some cases, chronic paranephritis occurs after surgery on the kidney. The process proceeds according to the type of productive inflammation with replacement of the pericardial cellular tissue with a connective or fibro-lipomatous tissue. Due to the development of retroperitoneal fibrosis, the patient often develops hydronephrosis transformation, chronic renal failure, nephrogenic arterial hypertension.
Symptoms of the chronic paranephritis
Symptoms of chronic paranephritis, as a rule, are more stunted, there are no specific symptoms of this pathological condition.
The patient often notes dull pain in the lumbar region on the side of the lesion, soreness in her palpation, subfebrile body temperature.
Where does it hurt?
Diagnostics of the chronic paranephritis
When diagnosing chronic paranephritis, the same methods as in acute paranephritis are used, but it is much more difficult to detect it.
Diagnosis of chronic paranephritis is based on data from anamnesis, objective and instrumental examination.
With X-ray and ultrasound, the absence of the kidney contours, as well as the contours of the lumbar muscle on the side of the lesion, is determined by the diffuse, moderately pronounced darkening in this region.
What do need to examine?
What tests are needed?
Differential diagnosis
Differentiate chronic paranephritis with hydronephrosis, pionephrosis, kidney tuberculosis.
Treatment of the chronic paranephritis
Treatment of chronic paranephritis, depending on the nature of the disease, can be conservative and operative (in most cases). Conservative treatment is performed in the absence of complications (nephrogenic arterial hypertension), it consists of anti-inflammatory, antibacterial and antisclerotic therapy. Assign diathermy, mud applications and hot baths, as well as fortifying agents, electrophoresis with hyaluronidase, aloe.
Operative treatment of chronic paranephritis includes excision of altered paranephric fiber, drainage of the retroperitoneal region. In the postoperative period, the appointment of antibacterial drugs (better cephalosporins or fluoroquinolones) with a broad spectrum of antimicrobial activity is indicated.
Forecast
Chronic paranephritis has a favorable prognosis in case of timely diagnosis and adequate treatment.