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结节性多动脉炎患者主动脉瘤手术后发生腹膜后纤维化:皮质类固醇治疗成功

Retroperitoneal fibrosis after surgery for aortic aneurysm in a patient with periarteritis nodosa: successful treatment with corticosteroids.

作者信息

Hautekeete M L, Babany G, Marcellin P, Gayno S, Palazzo E, Erlinger S, Benhamou J P

机构信息

Service d'Hépatologie, Hôpital Beaujon, Clichy, France.

出版信息

J Intern Med. 1990 Nov;228(5):533-6. doi: 10.1111/j.1365-2796.1990.tb00274.x.

Abstract

A 54-year-old man with hepatitis B virus-related periarteritis nodosa developed retroperitoneal fibrosis with bilateral hydronephrosis 2.5 months after placement of an aortobifemoral prosthesis for abdominal aortic aneurysm. Retroperitoneal fibrosis disappeared after treatment with corticosteroids. This observation is interesting in the light of the hypothesis that retroperitoneal fibrosis is caused by vasculitis.

摘要

一名54岁患有乙型肝炎病毒相关性结节性多动脉炎的男性,在因腹主动脉瘤置入主动脉双股动脉人工血管后2.5个月,出现了伴有双侧肾积水的腹膜后纤维化。经皮质类固醇治疗后,腹膜后纤维化消失。鉴于腹膜后纤维化由血管炎引起这一假说,该观察结果很有意思。

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