TITLE:
Renal Angiomyolipoma Presenting as Fever of Unknown Origin
AUTHORS:
Manisha Bhide, Patricia Bolshoun, Shandra Wilson, Kenneth A. Iczkowski
KEYWORDS:
Fever; Anemia; Elevated ESR; Renal Mass; Angiomyolipoma; Tuberous Sclerosis; Immunohistochemistry
JOURNAL NAME:
Open Journal of Urology,
Vol.2 No.3,
August
29,
2012
ABSTRACT: A 50 yr man presented with fatigue and fever. He was found to have a 7.2 cm left renal mass. Radical nephrectomy was done. The mass was HMB-45 negative renal angiomyolipoma. This patient did not have tuberous sclerosis. His fever resolved after the tumor excision. This case is unique because of the unusual morphology and histology of the tumor. It reiterates that getting rid of inflammatory cytokines being produced by the tumor will cause resolution of fever.