%0 Journal Article
%T A Case of Acute Renal Failure Associated with IgG4-Related Disease Presenting Both Tubulointerstitial Nephritis and Retroperitoneal Fibrosis
%A Hirohito Sugawara
%A Hideki Takizawa
%A Norihito Moniwa
%A Naoki Takamatsu
%A Yusuke Ohashi
%A Yayoi Ogawa
%J Open Journal of Nephrology
%P 86-92
%@ 2164-2869
%D 2016
%I Scientific Research Publishing
%R 10.4236/ojneph.2016.63011
%X We report a case of IgG4-related disease presenting both tubulointerstitial nephritis and retroperitoneal fibrosis causing acute renal failure in a 63-year-old male. He was admitted to our hospital because of acute renal failure requiring emergent hemodialysis. Computed tomography showed a soft-tissue density mass with an irregular border in the retroperitoneum. The mass involved bilateral ureters and had caused acute renal failure by bilateral hydronephrosis. Because of a history of uveitis and high IgG4 levels, we considered a diagnosis of retroperitoneal fibrosis, IgG4-related disease. Kidney biopsy revealed IgG4-related kidney disease with interstitial nephritis. After relief of urinary obstruction by inserting ureteral catheters into the bilateral ureters, renal function recovered.
%K IgG4 Related Disease
%K IgG4 Related Tubulointerstitial Nephritis
%K Retroperitoneal Fibrosis
%K Acute Renal Failure
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=70914