Related Experiment Video
Updated: May 15, 2026

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
Published on: August 26, 2025
Medical management of retroperitoneal fibrosis
Paul J Scheel1, Stephen M Sozio, Nancy Feeley
1PScheel1@jhmi.edu
Background:
Small series and case reports suggest that a combination of mycophenolate mofetil and prednisone is an efficatious and safe treatment for patients with retroperitoneal fibrosis.
Objective:
To describe the outcomes of patients with retroperitoneal fibrosis treated with a combination of prednisone and mycophenolate mofetil.
Design:
Prospective, case series.
Patients:
31 patients with retroperitoneal fibrosis.
Setting:
Single-center tertiary care facility.
Intervention:
Prednisone 40 mg administered daily and tapered over 6 months and mycophenolate mofetil 1,000 mg given twice daily.
Measurement:
Clinical course, laboratory assessment, measurement of periaortic mass.
Results:
Systemic symptoms resolved in all patients. Eighty-nine percent of patients had a 25% or greater reduction in periaortic mass. Eighteen patients had 32 obstructed ureters. Thirty of these ureters were free of obstruction after an average of 513 days of therapy. Laboratory abnormalities of elevated erythrocyte sedimentation rate and serum creatinine and decreased hemoglobin levels normalized in all patients. Recurrent disease occurred in 2 of 28 patients.
Conclusion:
Combined prednisone and mycophenolate mofetil appears to be an effective therapeutic option for patients with retroperitoneal fibrosis.
Related Concept Videos
Nephrotic Syndrome II : Assessment and Medical Management
Pericarditis III: Medical Management
Peripheral Artery Disease III: Interprofessional Care
Heart Failure V: Medical Management
Myocarditis III: Medical Management
Nephrotic Syndrome III : Nursing Management