Retroperitoneal fibrosis and immune-complex glomerulonephritis.
A 63-year-old man with rapidly progressive glomerulonephritis of the immune-complex type showed typical findings of idiopathic retroperitoneal fibrosis involving the left ureter resulting in hydronephrosis. Treatment with steroid improved both conditions. Our case and previously reported cases showing the same association of conditions support the hypothesis that the association is not fortuitous but reflects a common immunological mechanism.
Iwahashi
C
C
Department of Internal Medicine, Omiya Red Cross Hospital, Saitama, Japan. chika-i@ja2.so-net.ne.jp
Nakajima
H
H
Handa
Y
Y
Owada
F
F
Nagai
Y
Y
Kawamura
S
S
D018450:Disease Progression; D005921:Glomerulonephritis / Q000150:complications* / Q000188:drug therapy / Q000276:immunology / Q000473:pathology; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology; D007105:Immune Complex Diseases / Q000150:complications*; D007668:Kidney / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012185:Retroperitoneal Fibrosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology
D005938:Glucocorticoids