Multifocal Fibrosclerosis Combined with Idiopathic Retro-peritoneal and Pericardial Fibrosis
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概要
- 論文の詳細を見る
A 70-year-old man who had been diagnosed with retroperitoneal fibrosis (RPF) was admitted to our hospital complaining of dyspnea. Imaging studies showed massive pericardial effusion. His condition deteriorated and pericardiostomy was performed. A biopsy of the pericardium revealed marked fibrosis with infiltration of lymphocytes, which was identical to RPF findings. A diagnosis of multifocal fibrosclerosis was made. Despite aggressive treatment, he died with clinical signs of cardiovascular failure. The autopsy specimen revealed proliferation of fibrosis with infiltration of lymphocytes in multiple organs. Even after successful decompression of urinary obstruction for RPF, long-term follow-up is necessary in these patients because of the possibility of other fatal complications such as pericardial fibrosis.
著者
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Konishi Yoshio
Department of Internal Medicine, Osaka City General Hospital
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Yoshioka Katsunobu
Department Of Endocrinology And Metabolism Osaka City General Hospital
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Sato Toshihiko
Department Of Cardiology Tokyo Women's Medical University
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Maeda Isseki
Department Of Internal Medicine Osaka City General Hospital
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Morikawa Takashi
Department Of Biochemistry & Immunochemistry Research Division Panapharm Laboratories Co. Ltd.
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Inoue Takeshi
Department Of Animal Husbandry Faculty Of Agriculture Tohoku University
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Konishi Yoshio
Department Of Endocrinology And Metabolism Osaka City General Hospital
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Inoue Takeshi
Department of Pathology, Osaka City General Hospital
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Tsukamoto Yuka
Department of Internal Medicine, Osaka City General Hospital
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Omura Yoko
Department of Internal Medicine, Osaka City General Hospital
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