Presentation
Entire Body System
- Soft Tissue Mass
With a diagnosis of IgG4-related retroperitoneal fibrosis, he was treated with steroid, and the leg edema decreased with improvement of patency of the IVC and reduction of the soft tissue mass. [ncbi.nlm.nih.gov]
- Leg Swelling
Herein we report a case of a 46 year old male presenting with 4 months history of backache, fever, flank pain and leg swelling for 2 weeks. Investigations revealed acute kidney injury diagnosed as a result of bilateral ureteric obstruction. [ncbi.nlm.nih.gov]
Pain, leg swelling, and a reduction in kidney function can occur. This disorder results in decreased blood flow from the aorta to the lower part of your body. Initially, your body reacts to the reduced blood flow. [healthline.com]
- Inguinal Hernia
Unusual causes that can cause ureteric obstruction include barium granuloma after colon perforation, use of sclerosing agents for treatment of inguinal hernia and hemorrhoids, and methyl methacrylate cement used for joint replacement. [emedicine.com]
- Leg Edema
With a diagnosis of IgG4-related retroperitoneal fibrosis, he was treated with steroid, and the leg edema decreased with improvement of patency of the IVC and reduction of the soft tissue mass. [ncbi.nlm.nih.gov]
- Edema of Lower Extremity
She had edema in lower extremities. [omicsonline.org]
Gastrointestinal
- Left Flank Pain
A 71-year-old man visited our hospital with the complaint of left flank pain and gross hematuria. [ncbi.nlm.nih.gov]
- Lower Abdominal Pain
We report a case of 69-year-old male with recurrent lower abdominal pain for 10 months. [ncbi.nlm.nih.gov]
Case Report and Discussion A 40 year old male with essential hypertension on regular therapy since last 2 years presented with complain of vague lower abdominal pain of 5 months duration. [japi.org]
Musculoskeletal
- Thigh Pain
A 54-year-old man presented with right lower abdominal and upper thigh pain. Cross-sectional imaging of the abdomen revealed right hydronephrosis caused by a mass adjacent to the bladder. [em-consulte.com]
Workup
Serum
- Abnormal Renal Function
Liver dysfunction was absent; however, abnormal renal function was shown. Serum levels of IgG and IgG4 were elevated to 2,281 and 652 mg/dL, respectively. [pancreas.imedpub.com]
Other Pathologies
- Fibrinoid Necrosis
Necrosis, especially fibrinoid necrosis, is not characteristic of IgG4-RD. Figure 1. Obliterative phlebitis in a case of retroperitoneal fibrosis. A 54-year-old man presented with right lower abdominal and upper thigh pain. [em-consulte.com]