Yonsei Med J.  2008 Dec;49(6):1032-1035. 10.3349/ymj.2008.49.6.1032.

Idiopathic Retroperitoneal Fibrosis Associated with Hashimoto's Thyroiditis in an Old-aged Man

• Lee JE
• Han SH
• Kim DK
• Moon SJ
• Choi KH
• Lee HY
• Han DS
• Cho NH
• Oh YT
• Kim BS

• KMID: 1782954
• DOI: http://doi.org/10.3349/ymj.2008.49.6.1032

Abstract

Idiopathic retroperitoneal fibrosis (IRPF) is a rare disease characterized by a retroperitoneal inflammatory proliferative fibrosing process. Hashimoto's thyroiditis is the most common inflammatory condition of the thyroid gland; and is a frequently-occurring autoimmune disorder manifesting predominantly in middle-aged women. We report a rare association of IRPF with Hashimoto's thyroiditis in a 67-year-old man demonstrating good response to steroid therapy.

Keyword

Idiopathic retroperitoneal fibrosis; Hashimoto's thyroiditis; steroid therapy

MeSH Terms

Aged
Anti-Inflammatory Agents/therapeutic use
Hashimoto Disease/*complications/drug therapy
Humans
Male
Pregnenediones/therapeutic use
Retroperitoneal Fibrosis/*complications/drug therapy/pathology

Figure

• 

  Fig. 1 (A) Laparoscopic biopsy of the retroperitoneal mass shows retroperitoneal fibrosis (hematoxylin-eosin, × 40). (B) (hematoxylin-eosin, ×200).

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  Fig. 2 (A) CT demonstrate marked periaortic soft tissue mass surrounding a calcified infrarenal abdominal aorta compatible with retroperitoneal fibrosis. (B) Follow-up CT after 9 months steroid treatment demonstrated a marked reduction in the size of retroperitoneal mass (arrow).

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