دورية أكاديمية
IgG4-related retroperitoneal fibrosis with acute kidney injury: a case report and literature review.
| العنوان: | IgG4-related retroperitoneal fibrosis with acute kidney injury: a case report and literature review. |
|---|---|
| المؤلفون: | Petelytska, Liubov1 (AUTHOR) l.petelytska@gmail.com, Nikitina, Adriana1 (AUTHOR), Tarasenko, Oksana2 (AUTHOR), Chechotenko, Ihor3 (AUTHOR), Mykhailov, Dmytro3 (AUTHOR), Kravchenko, Vladyslav4 (AUTHOR), Iaremenko, Oleg1 (AUTHOR) |
| المصدر: | Rheumatology International. Nov2023, Vol. 43 Issue 11, p2141-2153. 13p. |
| مصطلحات موضوعية: | *ACUTE kidney failure, *RETROPERITONEAL fibrosis, *LITERATURE reviews, *RENAL fibrosis, *SYMPTOMS, *RETROPERITONEUM |
| مستخلص: | IgG4-related retroperitoneal fibrosis is a rare cause of renal dysfunction that usually manifests as obstructive nephropathy (sometimes with extrarenal manifestations). Due to the non-specific symptoms at the onset of the disease and often latent course, special laboratory and instrumental examination methods are usually needed to establish a diagnosis. The article describes a clinical case of a relapse of IgG4-related retroperitoneal fibrosis in a 53-year-old patient, who developed bilateral ureterohydronephrosis with postrenal acute kidney injury after the withdrawal of glucocorticoid therapy. The patient underwent bilateral percutaneous nephrostomy and resumed glucocorticoids at a dose of 30 mg/day. Postobstructive diuresis was 22 L. Treatment resulted in a complete normalization of the creatinine level and transient hypokalemia, which was eliminated with potassium medications. At the final stage of the treatment, bilateral stenting of both ureters was performed with a tapering of glucocorticoids to 5 mg per day with CT control of the retroperitoneal space after 5 months. A clinical case demonstrates that an interruption of glucocorticoid treatment in patients with IgG4-related retroperitoneal fibrosis can lead to ureterohydronephrosis with the development of acute kidney injury. In such cases, stenting of the ureters could be considered an optimal therapeutic option. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: | Academic Search Index |
| ResultId |
1 |
|---|---|
| Header |
asx Academic Search Index 171881578 1410 6 Academic Journal academicJournal 1410.240234375 |
| PLink |
https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&scope=site&db=asx&AN=171881578&custid=s6537998&authtype=sso |
| FullText |
Array
(
[Availability] => 0
)
|
| Items |
Array
(
[Name] => Title
[Label] => Title
[Group] => Ti
[Data] => IgG4-related retroperitoneal fibrosis with acute kidney injury: a case report and literature review.
)
Array ( [Name] => Author [Label] => Authors [Group] => Au [Data] => <searchLink fieldCode="AR" term="%22Petelytska%2C+Liubov%22">Petelytska, Liubov</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> l.petelytska@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Nikitina%2C+Adriana%22">Nikitina, Adriana</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tarasenko%2C+Oksana%22">Tarasenko, Oksana</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chechotenko%2C+Ihor%22">Chechotenko, Ihor</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mykhailov%2C+Dmytro%22">Mykhailov, Dmytro</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kravchenko%2C+Vladyslav%22">Kravchenko, Vladyslav</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Iaremenko%2C+Oleg%22">Iaremenko, Oleg</searchLink><relatesTo>1</relatesTo> (AUTHOR) ) Array ( [Name] => TitleSource [Label] => Source [Group] => Src [Data] => <searchLink fieldCode="JN" term="%22Rheumatology+International%22">Rheumatology International</searchLink>. Nov2023, Vol. 43 Issue 11, p2141-2153. 13p. ) Array ( [Name] => Subject [Label] => Subject Terms [Group] => Su [Data] => *<searchLink fieldCode="DE" term="%22ACUTE+kidney+failure%22">ACUTE kidney failure</searchLink><br />*<searchLink fieldCode="DE" term="%22RETROPERITONEAL+fibrosis%22">RETROPERITONEAL fibrosis</searchLink><br />*<searchLink fieldCode="DE" term="%22LITERATURE+reviews%22">LITERATURE reviews</searchLink><br />*<searchLink fieldCode="DE" term="%22RENAL+fibrosis%22">RENAL fibrosis</searchLink><br />*<searchLink fieldCode="DE" term="%22SYMPTOMS%22">SYMPTOMS</searchLink><br />*<searchLink fieldCode="DE" term="%22RETROPERITONEUM%22">RETROPERITONEUM</searchLink> ) Array ( [Name] => Abstract [Label] => Abstract [Group] => Ab [Data] => IgG4-related retroperitoneal fibrosis is a rare cause of renal dysfunction that usually manifests as obstructive nephropathy (sometimes with extrarenal manifestations). Due to the non-specific symptoms at the onset of the disease and often latent course, special laboratory and instrumental examination methods are usually needed to establish a diagnosis. The article describes a clinical case of a relapse of IgG4-related retroperitoneal fibrosis in a 53-year-old patient, who developed bilateral ureterohydronephrosis with postrenal acute kidney injury after the withdrawal of glucocorticoid therapy. The patient underwent bilateral percutaneous nephrostomy and resumed glucocorticoids at a dose of 30 mg/day. Postobstructive diuresis was 22 L. Treatment resulted in a complete normalization of the creatinine level and transient hypokalemia, which was eliminated with potassium medications. At the final stage of the treatment, bilateral stenting of both ureters was performed with a tapering of glucocorticoids to 5 mg per day with CT control of the retroperitoneal space after 5 months. A clinical case demonstrates that an interruption of glucocorticoid treatment in patients with IgG4-related retroperitoneal fibrosis can lead to ureterohydronephrosis with the development of acute kidney injury. In such cases, stenting of the ureters could be considered an optimal therapeutic option. [ABSTRACT FROM AUTHOR] ) |
| RecordInfo |
Array
(
[BibEntity] => Array
(
[Identifiers] => Array
(
[0] => Array
(
[Type] => doi
[Value] => 10.1007/s00296-023-05402-6
)
)
[Languages] => Array
(
[0] => Array
(
[Code] => eng
[Text] => English
)
)
[PhysicalDescription] => Array
(
[Pagination] => Array
(
[PageCount] => 13
[StartPage] => 2141
)
)
[Subjects] => Array
(
[0] => Array
(
[SubjectFull] => ACUTE kidney failure
[Type] => general
)
[1] => Array
(
[SubjectFull] => RETROPERITONEAL fibrosis
[Type] => general
)
[2] => Array
(
[SubjectFull] => LITERATURE reviews
[Type] => general
)
[3] => Array
(
[SubjectFull] => RENAL fibrosis
[Type] => general
)
[4] => Array
(
[SubjectFull] => SYMPTOMS
[Type] => general
)
[5] => Array
(
[SubjectFull] => RETROPERITONEUM
[Type] => general
)
)
[Titles] => Array
(
[0] => Array
(
[TitleFull] => IgG4-related retroperitoneal fibrosis with acute kidney injury: a case report and literature review.
[Type] => main
)
)
)
[BibRelationships] => Array
(
[HasContributorRelationships] => Array
(
[0] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Petelytska, Liubov
)
)
)
[1] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Nikitina, Adriana
)
)
)
[2] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Tarasenko, Oksana
)
)
)
[3] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Chechotenko, Ihor
)
)
)
[4] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Mykhailov, Dmytro
)
)
)
[5] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Kravchenko, Vladyslav
)
)
)
[6] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Iaremenko, Oleg
)
)
)
)
[IsPartOfRelationships] => Array
(
[0] => Array
(
[BibEntity] => Array
(
[Dates] => Array
(
[0] => Array
(
[D] => 01
[M] => 11
[Text] => Nov2023
[Type] => published
[Y] => 2023
)
)
[Identifiers] => Array
(
[0] => Array
(
[Type] => issn-print
[Value] => 01728172
)
)
[Numbering] => Array
(
[0] => Array
(
[Type] => volume
[Value] => 43
)
[1] => Array
(
[Type] => issue
[Value] => 11
)
)
[Titles] => Array
(
[0] => Array
(
[TitleFull] => Rheumatology International
[Type] => main
)
)
)
)
)
)
)
|
| IllustrationInfo |