Idiopathic retroperitoneal fibrosis: atypical evolution
Keywords:
idiopathic, retroperitoneal fibrosis, corticosteroidsAbstract
The authors present a clinical report of a 68 year old woman, who
had spontaneous clinical and laboratory amelioration of serious
acute renal failure due to idiopathic retroperitoneal fibrosis, which
was demonstrated on histologic examination of a surgical biopsy.
Therapy with corticosteroids and implantation of bilateral ureteral
stents were decided in view of laboratory signs of persistence of
disease activity. The clinical and laboratory evolution was good
and ureteral stents were removed at four months duration of
corticosteroid therapy. A slow and progressive lower dosage of
corticosteroids do not caused a recurrence of the disease, but
due to the persistence of imagiological signs of ureteral dilation,
azatioprine was associated to corticosteroids, trying to maintain
stabilization of the disease without needing to recur to ureterolysis surgery.
The authors made bibliographic review of data on idiopathic
retroperitoneal fibrosis, focusing on etiopathogeny, clinical presentation and diagnosis, therapy and prognosis.
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References
Gilkeson G, Allen N – Retroperitoneal fibrosis. A true connective tissue disease. Rheum Clin North America 1996; 22: 23-38.
Kottra J, Dunnick J – Retroperitoneal fibrosis. Radiol Clin North América 1996; 34: 1259-1275.
Martina F, Nuesch R, Gasser T – Retroperitoneal fibrosis and chronic peri-aortitis: a new hypothesis. Eur Urol 1993; 23: 371-374.
Parums D, Brown D, Mitchinson M – Serum antibodies to oxidized low-density lipoproteins and ceroid in chronic periaortitis. Arch Pathol Lab Med 1990; 114: 383-387.
Ham E, Mathisen W – Retroperitoneal fibrosis. Eur Urol 1984; 10: 43-47.
Tiptaft R, Costello A, Paris A et al – The long-term follow-up of idiopathic retroperitoneal fibrosis. Brit J Urol 1982; 54: 620-624.
Higgins P, Bennet-Jones D, Naiss P et al – Non-operative management of retroperitoneal fibrosis. Br J Surg 1988; 75: 573-577.
Alexopoulos E, Memmus D, Bakatselos S et al – Idiopathic retroperitoneal fibrosis: a long-term follow-up study. Eur Urol 1987; 13: 313-317.
Marcolongo R, Tarolini I, Laveder F et al – Immunosupression therapy of idiopathic retroperitoneal fibrosis: a retrospectively analysis of 26 cases. Amer J Med 2004; 116: 194-197.
Al-Musawi D; Mitchene P, Al-Akaraa M – Idiopathic retroperitoneal fibrosis treated with tamoxifen only. Br J Urol 1988; 82: 442-443.
Wagenknecht L, Hardy J – Value of various treatments for retroperitoneal fibrosis. Eur Urol 1981; 7: 193-200.
Perlow S – Obstruction of the iliac artery caused by retroperitoneal fibrosis. Amer J Surg 1963; 105: 285.
Albarran J – Rétention rénale par périurétérite; libération externe de l’ uréter. Ass Fr Urol 1905; 9: 511.
Ormond J – Bilateral ureteral obstruction due to envelopment and compression by an inflammatory retroperitoneal process. J Urol 1948: 59: 1072.
Lepor H, walsh P – Idiopathic retroperitoneal fibrosis. J Urol 1979; 122: 1-6.
Gleeson M, Taylor S, Dowling R – Multifocal fibrosclerosis. Proc Roy Soc Med 1970; 63: 1309.
Longley J, Bush J, Brunsting C – Occult neoplasm causing syndrome of retroperitoneal fibrosis. Calif Med 1965; 103: 279.
Fauber P et al – Retroperitoneal fibrosis presenting as spontaneously reversible renal failure. Am J Kidney Dis 1982; 2: 264-267.
Hellstrom H, Perez-Stable E – Retroperitoneal fibrosis with disseminated vasculitis and intrahepatic sclerosing cholangitis. Am J Med 1966; 40: 184.
Lalli A – Retroperitoneal fibrosis and innaparent obstructive uropathy. Radiology 1977; 122: 339-342.
Marzano A, Trapani A, Leone N et al – Treatment of idiopathic retroperitoneal fibrosis using cyclosporine. Ann Rheum Dis 2001; 60: 427-428.
Grotz W, von Zedwitz I, Andre M et al – Treatment of retroperitoneal fibrosis by mycophenolate mofetil and corticosteroids. The Lancet 1998; 352: 1195.
Larrieu A, Weiner I, Abston S et al – Retroperitoneal fibrosis. Surg Gynecol Obstrr 1980; 150: 699-702.
Ramshaw A, Roskell D, Parums D – Cytokyne gene expression in aortic adventitial inflammation associated with advanced atherosclerosis (chronic periaortitis) J Clin Pathol 1994; 47: 721-727.
Parums D – The spectrum of chronic periaortitis. Histopathology 1990; 16: 423-431
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