A 30 year old man with a 20 year history of chronic renal failure who presented with a testicular lesion is described. The lesional pathology, secondary oxalosis, and associated sperm granuloma of the epididymis was clinically considered to be an intrascrotal tumour. The oxalate crystal deposition was present within the rete testis, the ductuli efferents, and the epididymis along with sperm granulomata. This seems to be a rare complication of secondary oxalosis associated with chronic renal failure and having both clinical and pathological implications.
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| http://dx.doi.org/10.1136/jcp.47.5.470 | DOI Listing |
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Article Synopsis
- Oxalate nephropathy (ON) is a rare kidney condition caused by calcium oxalate crystal buildup in the nephrons, which can occur from primary genetic disorders or secondary factors like diet.
- A case of an elderly male with chronic kidney disease and acute injury linked to a new antibiotic showed increased creatinine levels and a renal biopsy confirmed ON due to crystal deposits.
- Adjusting the patient's diet to reduce oxalate intake and discontinuing vitamin C supplements helped improve his kidney function, highlighting the importance of thorough history-taking for timely treatment.
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