[IgG4相关性特发性腹膜后纤维化：一例报告]
[IgG4-related idiopathic retroperitoneal fibrosis: a case report].
作者信息
Oguchi Tomohiko, Okada Masato, Endo Fumiyasu, Hattori Kazunori, Fujisaki Akiko, Ikeda Masaomi, Shiga Yoshiyuki, Yashi Masahiro, Muraishi Osamu
机构信息
The Department of Urology, St. Luke's International Hospital.
出版信息
Hinyokika Kiyo. 2009 Dec;55(12):745-8.
A 75-year-old man visited our hospital with the complaint of lumbago due to bilateral hydronephrosis. Computed tomographic (CT) scan revealed a thick and homogeneous retroperitoneal soft-tissue mass with isodensity to the muscle, which extended from around the kidneys to the bladder. His serum IgG4 level was extremely high. He also had proptosis. He was diagnosed as having retroperitoneal fibrosis due to IgG4- related sclerosing disease, and treated with glucocorticoid and azathioprine. After 2 months, partial regression of the mass was observed.
一名75岁男性因双侧肾积水伴腰痛前来我院就诊。计算机断层扫描（CT）显示腹膜后有一个厚且均匀的软组织肿块，密度与肌肉相同，从肾脏周围延伸至膀胱。他的血清IgG4水平极高。他还伴有眼球突出。他被诊断为IgG4相关性硬化性疾病所致的腹膜后纤维化，并接受了糖皮质激素和硫唑嘌呤治疗。2个月后，观察到肿块部分消退。
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