دورية أكاديمية

Idiopathic and secondary forms of retroperitoneal fibrosis: A diagnostic approach.

التفاصيل البيبلوغرافية
العنوان: Idiopathic and secondary forms of retroperitoneal fibrosis: A diagnostic approach.
المؤلفون: Urban, M.L.1, Palmisano, A.1, Nicastro, M.1, Corradi, D.2, Buzio, C.1, Vaglio, A.1 augusto.vaglio@virgilio.it
المصدر: Revue de Médecine Interne. Jan2015, Vol. 36 Issue 1, p15-21. 7p.
مصطلحات موضوعية: *RETROPERITONEAL fibrosis, *FIBROSIS, *AUTOIMMUNE disease diagnosis, *AUTOIMMUNE disease treatment, *INFLAMMATION, *IMMUNOLOGIC diseases, *DIAGNOSIS
مستخلص: Retroperitoneal fibrosis (RPF) is an uncommon disease characterized by a fibrous reaction that takes place in the peri-aortic retroperitoneum and often entraps the ureters causing obstructive uropathy. RPF is idiopathic in the majority of cases, but can also be secondary to malignancies, infections, drugs, radiotherapy, and rare histiocytic disorders such as Erdheim–Chester disease. Idiopathic RPF is an immune-mediated disease, which can either be isolated, associated with other autoimmune diseases, or arise in the context of a multifocal fibro-inflammatory disorder recently renamed as IgG4-related disease. The differential diagnosis between idiopathic, IgG4-related and secondary RPF is crucial, essentially because the therapeutic approaches – especially of idiopathic vs. secondary RPF – can be dramatically different. This review focuses on the clinical, laboratory and imaging features of the different RPF forms, and also provides an overview of the available treatment options. [ABSTRACT FROM AUTHOR]
قاعدة البيانات: Academic Search Index
الوصف
تدمد:02488663
DOI:10.1016/j.revmed.2014.10.008