Multifocal idiopathic fibrosclerosis mimicking tuberculosis of the abdomen.

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dc.contributor.authorChrispal, A
dc.contributor.authorSathyendra, S
dc.contributor.authorThomas, Elsa Mary
dc.contributor.authorBoorugu, H
dc.contributor.authorMathews, K P
dc.date.accessioned2012-12-03T04:54:49Z
dc.date.available2012-12-03T04:54:49Z
dc.date.issued2009-01
dc.description.abstractWe present a 13 year old girl from Assam who had been treated as abdominal tuberculosis for 2 years due to the presence of refractory lymphocyte-predominant ascites and multiple small bowel strictures associated with significant anorexia and weight loss. On evaluation she was found to have retroperitoneal fibrosis with hydroureteronephrosis, mediastinal fibrosis and a retro-orbital pseudotumour. Based on these findings the diagnosis of Multifocal Idiopathic Fibrosclerosis (MIFS) was made. Ascites and multiple bowel strictures have been only rarely been described in association with MIFS. The other unique features in this patient were the early age of presentation, the presence of mediastinal fibrosis in association with retroperitoneal fibrosis, extensive soft tissue fibrosis of the neck, axillae and the presence of trismus. In a country like ours where Tuberculosis is commonplace, one would not think twice about treating such a case with antituberculous therapy. However, with a constellation of findings suggestive of a diffuse fibrotic process, MIFS should be an important consideration.©en_US
dc.identifier.citationChrispal A, Sathyendra S, Thomas Elsa Mary, Boorugu H, Mathews K P. Multifocal idiopathic fibrosclerosis mimicking tuberculosis of the abdomen. Journal of the Association of Physicians of India. 2009 Jan; 57(): 72-75.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/143527
dc.language.isoenen_US
dc.source.urihttps://www.japi.org/january_2009/C-3.htmlen_US
dc.subject.meshAbdomen
dc.subject.meshAdolescent
dc.subject.meshAnti-Inflammatory Agents --therapeutic use
dc.subject.meshDiagnosis, Differential
dc.subject.meshFemale
dc.subject.meshFibrosis --diagnosis
dc.subject.meshHumans
dc.subject.meshOrbital Pseudotumor --diagnosis
dc.subject.meshPeritonitis, Tuberculous --diagnosis
dc.subject.meshPeritonitis, Tuberculous --drug therapy
dc.subject.meshPeritonitis, Tuberculous --pathology
dc.subject.meshPrednisolone --therapeutic use
dc.subject.meshRetroperitoneal Fibrosis --diagnosis
dc.subject.meshRetroperitoneal Fibrosis --pathology
dc.subject.meshSclerosis --diagnosis
dc.titleMultifocal idiopathic fibrosclerosis mimicking tuberculosis of the abdomen.en_US
dc.typeArticleen_US
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