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[A case of retroperitoneal fibrosis responding to steroid therapy].

Abstract
A 73-year-old man presented with acute renal failure due to bilateral hydronephroses. Urography and CT scan revealed stenosis and medial deviation of the bilateral ureters surrounded by a soft tissue mass at the level of the 4-5th lumber vertebrae. Under a diagnosis of retroperitoneal fibrosis, bilateral nephrostomies were temporarily placed and prednisolone administration was initiated at a dose of 20 mg/day. Ureteral passage markedly improved within 2 weeks in association with a decrease in size of the retroperitoneal soft tissue mass. The steroid therapy was continued for 4 months with decreasing dosing schedule. The patient has been doing well without any signs of recurrence for 3 months after the cessation of the steroid therapy.
AuthorsT Inoue, N Shimoda, Y Horikawa, Y Tachiki, S Satoh, T Habuchi, T Kato
JournalHinyokika kiyo. Acta urologica Japonica (Hinyokika Kiyo) Vol. 47 Issue 5 Pg. 321-4 (May 2001) ISSN: 0018-1994 [Print] Japan
PMID11433752 (Publication Type: Case Reports, English Abstract, Journal Article)
Chemical References
  • Prednisolone
Topics
  • Aged
  • Drug Administration Schedule
  • Humans
  • Male
  • Prednisolone (administration & dosage, therapeutic use)
  • Retroperitoneal Fibrosis (drug therapy)

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