Type 1 diabetes and idiopathic retroperitoneal fibrosis: case report.

Fiche publication


Date publication

avril 2009

Auteurs

Membres identifiés du Cancéropôle Est :
Pr CHENARD Marie-Pierre, Pr JACQMIN Didier


Tous les auteurs :
Sum S, Moreau F, Jacquemin D, Neuville A, Jeung M, Pinget M, Chenard MP, Kessler L

Résumé

Retroperitoneal fibrosis is characterized by the presence of a retroperitoneal tissue, consisting of chronic inflammation and marked fibrosis, which entraps the retroperitoneal organs. In two-thirds of cases, the retroperitoneal fibrosis is idiopathic. The pathogenic mechanism is not clearly identified. We report a case of idiopathic retroperitoneal fibrosis associated with type 1 diabetes mellitus. A 61-year-old woman with C peptide negative insulindependent diabetes developed retroperitoneal fibrosis revealed by bilateral hydronephrosis. Anti-GAD 65 antibodies were positive. There were no signs of autoimmune pancreatitis: no steatorrhea, normal IgG4 isotype levels, and absence of pancreas morphological abnormalities.

Référence

Ann Endocrinol (Paris). 2009 Apr;70(2):129-32