Immunosuppressive therapy in idiopathic multifocal fibrosis. A case report
Damian Franzen, Hans-Georg Brochhagen, Effim Benenson
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DOI: 10.4236/ojim.2011.12004   PDF    HTML   XML   4,569 Downloads   8,737 Views   Citations

Abstract

Multifocal fibrosis is a rare condition occurring at any age and characterized by chronic inflammation, soft tissue proliferation and subsequent fibrosis of various vascular connective tissues. Following diagnosis in a 43-year accountant with multiple vascular lesions, the patients was treated successfully with azathioprine and steroids over a period of 3 years. Fatigue and sweating, serologic sign of inflammation and radiological imaging studies normalized completely. Twenty four months after termination of therapy, there were no clinical or serologic signs of relapse.

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Franzen, D. , Brochhagen, H. and Benenson, E. (2011) Immunosuppressive therapy in idiopathic multifocal fibrosis. A case report. Open Journal of Internal Medicine, 1, 9-13. doi: 10.4236/ojim.2011.12004.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] van Bommel, E.F.H. (2002) Retroperitoneal fibrosis. The Netherlands Journal of Medicine, 60, 231-242.
[2] Neild, G.H., Rodriguez-Justo, M., Wall, C. and Connolly, J.O. (2006) Hyper-IgG4 disease: Report and characterisation of a new disease. BMC Medicine, 4, 1-25. doi:10.1186/1741-7015-4-23
[3] Flückiger, B., Bunne, W., Kuhn, M. and Reinhart, W.H. (2006) Idiopathische multifokale Fibrose. Schweiz- erisches Medizinisches Forum, 6, 83-84.
[4] Szarf, G. and Bluemke, D.A. (2005) Case 83: Multifocal fibrosclerosis with mediastinal-retroperitoneal involve- ment, Radiology, 235, 829-832. doi:10.1148/radiol.2352030088
[5] Kamisawa, T. and Okamoto, A. (2008) IgG-4 related sclerosing disease. World Journal of Gastroenterology, 14, 3948-3955. doi:10.3748/wjg.14.3948
[6] Maturen, K.E., Sundaram, B., Marder, W. and Swartz, R.D. (2011) Coronary artery involvement in idiopathic retroperitoneal fibrosis: Computed tomographic findings. Journal of Thoracic Imaging, (Epub ahead of print).
[7] Novak, I., Moravek, P., Base, J. and Svab, J. (1994) Longterm results in patients with retroperitoneal fibrosis. Rozhledy v Chirurgii, 73, 287-290.
[8] Kardar, A.H., Kattan, S., Lindstedt, E. and Hanash, K. (2002) Steroid therapy for idiopathic retroperitoneal fibrosis: Dose and duration. Journal of Urology, 168, 550- 555. doi:10.1016/S0022-5347(05)64677-0
[9] Warnatz, K., Keskin, A.G., Uhl, M., Scholz, C., Katzenwadel, A., Vaith, P., Peter, H.H. and Walker, U.A. (2005) Immunosuppressive treatment of chronic periaortitis: A retrospective study of 20 patients with chronic periaortitis and a review of the literature. Annals of the Rheumatic Diseases, 64, 828-833. doi:10.1136/ard.2004.029793
[10] Vaglio, A. (2006) Retroperitoneal fibrosis. The Lancet, 367, 241-251.
[11] Vaglio, A., Greco, P., Conradi, D., Palmisano, A., Martorana, D., Ronda, N. and Buzio, C. (2006) Autoimmune aspects of chronic periarotitis. Autoimmunity Reviews, 5, 458-464. doi:10.1016/j.autrev.2006.03.011
[12] Swartz, R.D. (2009) Idiopathic retroperitoneal fibrosis: A review of the pathogenesis and approaches to treatment. American Journal of Kidney Diseases, 54, 546-553. doi:10.1053/j.ajkd.2009.04.019
[13] Swartz, R.D., Lake, A.M., Roberts, W.W., Faerber, G.J. and Wolf, J.S. (2008) Idiopathic retroperitoneal fibrosis: A role for mycophenolate motefil. Clinical Nephrology, 69, 260-268.
[14] Paz, Z. and Shoenfeld, Y. (2010) Antifibrosis: To reverse the Irreversible. Clinical Reviews in Allergy and Immunology, 38, 276-286. doi:10.1007/s12016-009-8157-7

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