Retroperitoneal fibrosis associated with IgG4-related disease diagnosed by prostate biopsy developed with acute post-renal renal failure: A case report

Inui, Kohei; Nakagawa, Yuki; Watanabe, Hirofumi; Hasegawa, Go; Ikeda, Youko; Tsuchida, M; Koda, Ryo; Iino, Noriaki; Hoshii, Tatsuhiko; Nishiyama, Tsutomu; Tomita, Yoshihiko

doi:10.1016/j.eucr.2017.09.017

Cited by 5 publications

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“…While a physical examination and CT revealed no apparent superficial organ involvement, gallium-67 scintigraphy detected an increased uptake at the ventral side of our patient's prostate. We previously noted the usefulness of an alternative prostate biopsy for obtaining histological proof of IgG4-RD in cases where the affected lesions are difficult to approach (4). That report describes a 79-year-old man with IgG4-related retroperitoneal fibrosis associated with acute renal failure caused by ureteral obstruction (serum IgG4: 757 mg/dL).…”

Section: Discussionmentioning

confidence: 99%

“…We previously encountered an IgG4-RD case in whom a trans-perineal prostate biopsy following a detailed evaluation with magnetic resonance imaging (MRI) was useful for obtaining histological evidence of IgG4-RD (4). On evaluating our patient's lower urinary symptoms (LUTS) in more detail, he noted that he had recently felt the slight sensation of residual urine.…”

Section: Case Reportmentioning

confidence: 99%

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IgG4-related Periarteritis Successfully Diagnosed by an Alternative Prostate Biopsy

et al. 2019

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A 56-year-old man was referred to our facility after developing edema in his right leg. Enhanced computed tomography (CT) revealed a periarterial soft tissue mass surrounding the right iliac artery compressing the iliac vein. His elevated serum IgG4 level indicated IgG4-related disease (IgG4-RD). Both a percutaneous and surgical biopsy of this periarterial lesion proved challenging and were not pursued. A prostate biopsy, however, finally provided a histological diagnosis of IgG4-RD. Oral steroid therapy successfully resolved his leg edema and periarterial lesion. This case illustrates the usefulness of an alternative prostate biopsy for the histological diagnosis of IgG4-RD when approaching the primary affected lesion is difficult.

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Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%