IgG4‐related retroperitoneal fibrosis: A case report of a challenging disease

Abstract Immunoglobulin G4 (IgG4)‐related disease (IgG4‐RD) is a multi‐organ immune‐mediated fibroinflammatory disorder that may imitate malignancy, infectious or any other inflammatory disorder. IgG4‐related retroperitoneal fibrosis (IgG4‐RPF) is a rare form of IgG4‐RD, diagnosis of which is often...

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Main Authors: Saika Farook, Md. Shariful Alam Jilani, Md. Kamrul Islam, Shamima Rahman, Rumana Ashraf, Naval Mendiratta, Sudhir Kumar Rawal
Format: Article
Language:English
Published: Wiley 2023-09-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.7865
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author Saika Farook
Md. Shariful Alam Jilani
Md. Kamrul Islam
Shamima Rahman
Rumana Ashraf
Naval Mendiratta
Sudhir Kumar Rawal
author_facet Saika Farook
Md. Shariful Alam Jilani
Md. Kamrul Islam
Shamima Rahman
Rumana Ashraf
Naval Mendiratta
Sudhir Kumar Rawal
author_sort Saika Farook
collection DOAJ
description Abstract Immunoglobulin G4 (IgG4)‐related disease (IgG4‐RD) is a multi‐organ immune‐mediated fibroinflammatory disorder that may imitate malignancy, infectious or any other inflammatory disorder. IgG4‐related retroperitoneal fibrosis (IgG4‐RPF) is a rare form of IgG4‐RD, diagnosis of which is often relied on radiological technology. Herein, we describe a case of 60 year old male, presenting with low back pain and weight loss for a period of 2 months and 15 days. Imaging studies showed a retroperitoneal tumorous mass along with bilateral hydroureteronephrosis, which was later confirmed to be IgG4‐related retroperitoneal fibrosis on the basis of extensive histopathological analysis. Immunosuppressive therapy resulted in a decrease in fibrosis and restoration of renal function.
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spelling doaj.art-8854d6b4b85c4799ade5a614d84eb9002023-10-20T06:16:21ZengWileyClinical Case Reports2050-09042023-09-01119n/an/a10.1002/ccr3.7865IgG4‐related retroperitoneal fibrosis: A case report of a challenging diseaseSaika Farook0Md. Shariful Alam Jilani1Md. Kamrul Islam2Shamima Rahman3Rumana Ashraf4Naval Mendiratta5Sudhir Kumar Rawal6Department of Microbiology Ibrahim Medical College Dhaka BangladeshDepartment of Microbiology Ibrahim Medical College Dhaka BangladeshDepartment of Urology Dhaka Medical College and Hospital & Department of Urology, Centre for Kidney Disease & Hospital Dhaka BangladeshDepartment of Obstetrics and Gynecology, Colonel Malek Medical College and Hospital, Manikganj University of Dhaka Dhaka BangladeshDepartment of Obstetrics and Gynecology Dr. Sirajul Islam Medical College & Hospital Ltd Dhaka BangladeshDepartment of Rheumatology Fortis Memorial Research Institute Gurugram IndiaDepartment of Urogenital Oncology Rajeev Gandhi Cancer Hospital and Research Centre New Delhi IndiaAbstract Immunoglobulin G4 (IgG4)‐related disease (IgG4‐RD) is a multi‐organ immune‐mediated fibroinflammatory disorder that may imitate malignancy, infectious or any other inflammatory disorder. IgG4‐related retroperitoneal fibrosis (IgG4‐RPF) is a rare form of IgG4‐RD, diagnosis of which is often relied on radiological technology. Herein, we describe a case of 60 year old male, presenting with low back pain and weight loss for a period of 2 months and 15 days. Imaging studies showed a retroperitoneal tumorous mass along with bilateral hydroureteronephrosis, which was later confirmed to be IgG4‐related retroperitoneal fibrosis on the basis of extensive histopathological analysis. Immunosuppressive therapy resulted in a decrease in fibrosis and restoration of renal function.https://doi.org/10.1002/ccr3.7865immunoglobulin‐G4‐related disease (IgG4‐RD)retroperitoneal fibrosissystemic disease
spellingShingle Saika Farook
Md. Shariful Alam Jilani
Md. Kamrul Islam
Shamima Rahman
Rumana Ashraf
Naval Mendiratta
Sudhir Kumar Rawal
IgG4‐related retroperitoneal fibrosis: A case report of a challenging disease
Clinical Case Reports
immunoglobulin‐G4‐related disease (IgG4‐RD)
retroperitoneal fibrosis
systemic disease
title IgG4‐related retroperitoneal fibrosis: A case report of a challenging disease
title_full IgG4‐related retroperitoneal fibrosis: A case report of a challenging disease
title_fullStr IgG4‐related retroperitoneal fibrosis: A case report of a challenging disease
title_full_unstemmed IgG4‐related retroperitoneal fibrosis: A case report of a challenging disease
title_short IgG4‐related retroperitoneal fibrosis: A case report of a challenging disease
title_sort igg4 related retroperitoneal fibrosis a case report of a challenging disease
topic immunoglobulin‐G4‐related disease (IgG4‐RD)
retroperitoneal fibrosis
systemic disease
url https://doi.org/10.1002/ccr3.7865
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