Atypical Presentation of Sarcoidosis with Retroperitoneal Fibrosis, Non-Caseating Granulomatous Perinephric Lesion and Obstructive Uropathy

Ramchandani Santosh
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Ramchandani Santosh: Lehigh Valley Hospital, Allentown, USA

Biomedical Journal of Scientific & Technical Research, 2023, vol. 50, issue 3, 41635-41639

Abstract: A 66 year old female was admitted to the hospital with acute renal failure, hyperkalemia, and anemia. Etiology of her acute renal failure was obscure, and all serologic studies were negative. A kidney biopsy was performed shows interstitial infiltration noncaseating granulomas. CT scan abdomen revealed bilateral kidney enlargement and retroperitoneal fibrosis (RPF). Perinephric tissue also demonstrated dense fibrosis, inflammation and noncaseating granulomas. Treatment was initiated with 80mg of prednisone and bilateral ureteral stents were inserted because of fullness of collecting system seen on CT scan. Over 2 weeks, renal function improved towards normal. Kidney and retroperitoneal findings highly suggested renal sarcoidosis.

Keywords: Journals on Medical Drug and Therapeutics; Journals on Emergency Medicine; Physical Medicine and Rehabilitation; Journals on Infectious Diseases Addiction Science and Clinical Pathology; Open Access Clinical and Medical Journal; Journals on Biomedical Science; List of Open Access Medical Journal; Journals on Biomedical Engineering; Open Access Medical Journal; Biomedical Science Articles; Journal of Scientific and Technical Research (search for similar items in EconPapers)
Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:abf:journl:v:50:y:2023:i:3:p:41635-41639

DOI: 10.26717/BJSTR.2023.50.007948

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