Abstract
Retroperitoneal fibrosis (RPF) is an uncommon collagen vascular disease characterized by a chronic nonspecific inflammation of the retroperitoneum, which can entrap and obstruct retroperitoneal structures. Although obscure, an autoimmune-mediated or vasculitic etiology has been hypothesized. In the current report, a case of RPF associated with the presence of antibodies against proteinase III, which responded effectively to immunosuppressive therapy, is presented.
References
Mitchinson MJ (1984) Chronic periaortitis and periarteritis. Histopathology 8:589–600
Vizjak A, Nagode B, Rott T, Koselj M, Rozman B, Kaplan-Pavlovcic S, Kosnik M, Petric V, Ferluga D (2000) Antineutrophil cytoplasmic autoantibodies–antigen specificity and associated diseases. Wien Klin Wochenschr 112:665–670
Mustila A, Paimela L, Leirisalo-Repo M, Huhtala H, Miettinen A (2000) Antineutrophil cytoplasmic antibodies in patients with early rheumatoid arthritis: an early marker of progressive erosive disease. Arthritis Rheum 43:1371–1377
Seo P, Stone JH (2004) The antineutrophil cytoplasmic antibody-associated vasculitides. Am J Med 117:39–50
Littlejohn GO (1981) The association of retroperitoneal fibrosis with systemic vasculitis and HLAB27. J Rheumatol 8:665–669
Gilkeson GS, Allen NB (1996) Retroperitoneal fibrosis. A true connective tissue disease. Rheum Dis Clin North Am 22:23–38
Jones EA (1966) Idiopathic retroperitoneal fibrosis associated with an arteritis. Ann Rheum Dis 25:356–360
Mitchinson MJ (1972) Aortic disease in idiopathic retroperitoneal and mediastinal fibrosis. J Clin Pathol 25:287–293
van Bommel E, Brouwers A, Makkus A, van Vliet A (2002) Retroperitoneal fibrosis and p-ANCA-associated polyarteritis nodosa: coincidental or common etiology? Eur J Intern Med 13:392
Sakemi T, Tomiyoshi Y, Yano H, Ikeda Y, Matsuo Y, Kudo S (1998) Retroperitoneal fibrosis with perinuclear antineutrophil cytoplasmic antibodies and a longitudinally extended periaortic soft-tissue structure on CT. Nephron 78:218–220
Fernandez Guerra J, Cano Gomez S, Soto Campos JG, Valenzuela Mateos F (1995) Retroperitoneal and mediastinal fibrosis with serum p-ANCA increase. A new evidence of immunological etiology? An Med Interna 12:622–623
Vaglio A, Manenti L, Allegri L, Ferrozzi F, Corradi D, Buzio C (2002) ANCA-positive periaortic vasculitis: does it fall within the spectrum of vasculitis? J Intern Med 251:268–271
Kaipiainen-Seppanen O, Jantunen E, Kuusisto J, Marin S (1996) Retroperitoneal fibrosis with antineutrophil cytoplasmic antibodies. J Rheumatol 23:779–781
Aslangul E, Ranque B, Papo T (2003) Pseudotumoral retroperitoneal fibrosis and localized vasculitis with very high serum levels of anti-PR3 ANCA. Am J Med 115:250–252
Vaglio A, Corradi D, Manenti L, Ferretti S, Garini G, Buzio C (2003) Evidence of autoimmunity in chronic periaortitis: a prospective study. Am J Med 114:454–462
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mavragani, C.P., Voulgarelis, M. Retroperitoneal fibrosis and c-ANCA positivity. Clin Rheumatol 26, 115–116 (2007). https://doi.org/10.1007/s10067-005-0118-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10067-005-0118-9