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  • Title: [A case of retroperitoneal fibrosis responding to steroid therapy].
    Author: Inoue T, Shimoda N, Horikawa Y, Tachiki Y, Satoh S, Habuchi T, Kato T.
    Journal: Hinyokika Kiyo; 2001 May; 47(5):321-4. PubMed ID: 11433752.
    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.
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