Rapidly Progressive Kidney Failure Associated with Perirenal Capsular Lesion Due to IgG4-Related Disease
| العنوان: | Rapidly Progressive Kidney Failure Associated with Perirenal Capsular Lesion Due to IgG4-Related Disease |
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| المؤلفون: | Tomoki Tanaka, Yukiko Nakase, Hitomi Shimizu, Nobuhide Endo, Tomoharu Watanabe, Tomohiro Kawazoe |
| المصدر: | Internal Medicine |
| بيانات النشر: | Japanese Society of Internal Medicine, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, Pathology, medicine.medical_specialty, retroperitoneal fibrosis, Case Report, perirenal capsule, 030204 cardiovascular system & hematology, Kidney, Retroperitoneal fibrosis, Lesion, 03 medical and health sciences, rapidly progressive kidney failure, 0302 clinical medicine, Fibrosis, Parenchyma, Internal Medicine, medicine, Humans, Renal Insufficiency, IgG4-related disease, Pathological, Aged, urogenital system, business.industry, Soft tissue, General Medicine, medicine.disease, medicine.anatomical_structure, Immunoglobulin G, Kidney Diseases, 030211 gastroenterology & hepatology, Immunoglobulin G4-Related Disease, medicine.symptom, business |
| الوصف: | A 71-year-old Japanese man with progressive kidney failure was referred to our hospital. Laboratory tests showed elevated IgG4 levels. Contrast-enhanced computed tomography (CT) revealed soft tissue surrounding the left kidney and right atrophic kidney. A histopathological examination revealed inflammation and fibrosis with rich IgG4-positive cells in the thickened kidney capsule, but not in the kidney parenchyma. Poor enhancement in the left kidney on contrast-enhanced CT and wrinkling of glomerular capillaries in pathological tissues were also observed. These findings indicated IgG4-related perirenal lesions leading to low renal perfusion and kidney failure. The perirenal lesions and kidney failure were improved by corticosteroid therapy. |
| تدمد: | 1349-7235 0918-2918 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::218b97bed8d3c9091a8dfaf563c76dc8Test https://doi.org/10.2169/internalmedicine.6232-20Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....218b97bed8d3c9091a8dfaf563c76dc8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13497235 09182918 |
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