Description

Malacoplakia is a rare inflammatory disorder of uncertain etiology. While most often involving the genitourinary tract it may also involve other sites, such as the gastrointestinal tract, gallbladder, lung, tongue, brain, lymph nodes, bone or skin.


 

Theories for the underlying cause of malacoplakia:

(1) defect in macrophage function with abnormal bacterial phagocytosis

(2) particular strain of bacteria resistant to digestion in phagosomes

 

Risk factors:

(1) female gender

(2) age > 50 years

(3) diabetes mellitus

(4) immunosuppression

(4a) AIDS

(4b) other immunodeficiency

(4c) autoimmune disorder

(4d) immunosuppressive therapy (corticosteroids, other)

(5) malignancy

(6) history of a chronic infection, typically with a Gram-negative Enterobacteriaceae, most often E. coli

 


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