AI Article Synopsis

  • Retroperitoneal fibrosis (RPF) is a rare condition characterized by the development of fibrous tissue in the retroperitoneum, with two main subtypes: vascular and urorenal.
  • From 2005 to 2021, a study found 27 patients with the vascular subtype and 11 with the urorenal subtype, highlighting demographic differences.
  • The urorenal subtype showed significantly worse kidney function and higher cholesterol levels, while the vascular subtype had a higher prevalence of cardiovascular risk factors like hypertension and diabetes, indicating diagnostic and therapeutic challenges due to symptom diversity.

Article Abstract

Introduction: Retroperitoneal fibrosis (RPF) is a rare disease associated with the formation of hard inflammatory and fibrous tissue in the retroperitoneum. Taking into consideration the fact that RPF is a rare disease with different subtypes, we compared the basal clinical and biochemical characteristics of the vascular and urorenal subtypes.

Patients And Methods: From January 2005 until December 2021, 27 patients were identified as vascular subtype (18 males) and 11 as urorenal subtype (9 males).

Results: Patients with a primary urorenal origin had significantly worse kidney function as reflected by serum creatinine and eGFR (both  < 0.001); they also had higher serum cholesterol ( < 0.01). Hypertension, diabetes, hyperlipidemia and nicotinism were significantly more prevalent in vascular subtype (all  < 0.001).

Conclusion: Vascular subtype is more prevalent in our study with more cardiovascular risk factor present. Due to the diversity of symptoms, diagnosis of RPF becomes a challenge for specialists as well as therapy.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9037163PMC
http://dx.doi.org/10.1080/0886022X.2022.2064303DOI Listing

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