Refractory eosinophilic cystitis controlled with low-dose cyclosporine therapy: A case report

Olufunmilola Adeleye, John S. Trickett, Benjamin L. Wright, Aqsa Khan

Abstract

Eosinophilic cystitis (EC) is a rare disease of the bladder with no clear inciting etiology, pathogenesis, or standard treatment. We present the case of a 78-year-old woman with a three-year history of refractory EC with symptoms characterized by urinary frequency, gross hematuria, dysuria, and suprapubic pain. Despite treatment with a silver nitrate instillation, antibiotics, alpha-1 blockers, antihistamines, antimuscarinics, beta-3 agonists, and intravesical steroid injections, her symptoms persisted. She was then trialed on systemic therapies including prednisone, montelukast, and cyclosporine. Upon follow-up after initiation of therapy with low-dose cyclosporine she had an excellent response, both symptomatically and anatomically via cystoscopy.

Keywords

  • Cyclosporine
  • Eosinophilic cystitis

ASJC Scopus subject areas

  • Urology

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