Hashimoto's thyroiditis associated with idiopathic retroperitoneal fibrosis: case report and review of the literature.
Idiopathic retroperitoneal fibrosis (IRF) is a rare disease of unknown origin, characterised by an inflammatory proliferative fibrosing process occurring in the retroperitoneum. Hashimoto's thyroiditis (HT) is a form of chronic thyroiditis that in some cases shows an extensive replacement of thyroid parenchyma by fibrous tissue. We report the rare association of IRF with HT in a 68-year-old woman presenting with pulmonary oedema, acute renal failure due to bilateral hydronephrosis and a firm diffuse goitre with hypothyroidism. The so far reported cases of IRF associated with chronic thyroiditis are reviewed, and the possible aetiopathogenetic link between these two entities is discussed.
Pizzini
A M
AM
Department of Internal Medicine, Endocrinology Unit, University of Modena and Reggio Emilia, Italy.
Corrado
S
S
Radighieri
E
E
Ferretti
G
G
Carani
C
C
Papi
G
G
D000368:Aged; D001706:Biopsy; D005260:Female; D050031:Hashimoto Disease / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D012185:Retroperitoneal Fibrosis / Q000150:complications*