Abstract
We describe a 13-year-old girl with juvenile rheumatoid arthritis who developed obstructive uropathy and renal failure. Retroperitoneal fibrosis (RPF) was confirmed by surgery. Although the renal failure and hydronephrosis resolved after surgery, the symptoms of vascular occlusion persisted. We consider that early diagnosis and treatment are essential. In cases of autoimmune disease, RPF should be considered when there is acquired obstructive uropathy accompanied by vascular occlusion syndrome.
References
Amis ES Jr (1991) Retroperitoneal fibrosis. AJR 157:321–329
Wacksman J, Weinerth JL, Kredich D (1978) Retroperitoneal fibrosis in children. Urology 12:438–439
Yuh WTC, Barloon TJ, Sickels WJ, Kramolowsky EV, Williams RD (1989) Magnetic resonance imaging in the diagnosis and followup of idiopathic retroperitoneal fibrosis. J Urol 141:602–605
Arrive L, Hricak H, Tavares NJ, Miller TR (1989) Malignant versus nonmalignant retroperitoneal fibrosis: differentiation with MR imaging. Radiology 172:139–143
Deane AM, Gingell JC, Pentlow BD (1983) Idiopathic retroperitoneal fibrosis — the role of autotransplantation. Br J Urol 55:254–256
Silk M (1984) Silastic sheeting in retroperitoneal fibrosis. Urology 24:125–127
Mestres CA, Rumia J, Acosta M, Bielsa O (1990) A new technical alternative in the surgery for retroperitoneal fibrosis: the Gore-Tex surgical membrane. Eur Urol 18:231–233
McDougal WS, MacDonell RC Jr (1991) Treatment of idiopathic retroperitoneal fibrosis by immunosuppression. J Urol 145:112–114
Koep L, Zuidema GD (1977) The clinical significance of retroperitoneal fibrosis. Surgery 81:250–257
Lepor H, Walsh P (1979) Idiopathic retroperitoneal fibrosis. J Urol 122:1–6
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tsai, TC., Chang, PY., Chen, BF. et al. Retroperitoneal fibrosis and juvenile rheumatoid arthritis. Pediatr Nephrol 10, 208–209 (1996). https://doi.org/10.1007/BF00862082
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00862082