Diagnosis and classification of autoimmune pancreatitis

Okazaki, Kazuichi; Tomiyama, Takashi; Mitsuyama, Toshiyuki; Sumimoto, Kimi; Uchida, Kazushige

doi:10.1016/j.autrev.2014.01.010

Cited by 46 publications

(41 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although it was noticeably an atypical finding, mildly dilated proximal MPD in this case was thought to be related to IgG4-associated disease, since it disappeared completely under corticosteroid treatment. High serum levels of IgG4, the presence of type 1 autoimmune pancreatitis (diffuse type) and corticosteroid responsiveness easily helped us to exclude other possible diseases, such as primary sclerosing cholangitis, cholangiocarcinoma, follicular cholangitis, as the differential diagnosis of this case (6,7). Moreover, histological detection of IgG4 + plasma cells is usually unnecessary for cases like ours, showing typical radiological findings and high serum levels of IgG4.…”

Section: Discussionmentioning

confidence: 99%

Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment

et al. 2016

View full text Add to dashboard Cite

Background: Immunoglobulin G4 (IgG4)-associated diseases mostly involve the pancreatico-biliary tree and pancreatic parenchyma. This disease complex is characterized by marked response to corticosteroid therapy and response to steroids is incorporated in the diagnostic algorithm of IgG4 associated diseases. However, there is much unknown about the sequences and duration of healing during the corticosteroid therapy in the literature. Case Report: In this case report, we report a young male patient with IgG4 associated extrahepatic biliary stricture and autoimmune pancreatitis successfully treated with corticosteroids. Recovery in the laboratory and radiological findings seemed to correlate well with the decrease in serum IgG4 levels in this patient. We also discussed sequences and the duration of healing in the pancreaticobiliary tree and pancreatic parenchymal manifestations in this case report. Conclusion: There is a gap in our knowledge about the evaluation of response criteria after steroid trial with regard to the duration and sequences of healing in the pancreaticobiliary involvement in diagnosing IgG4-related biliary and pancreatic diseases.

show abstract

Section: Discussionmentioning

confidence: 99%

Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment

et al. 2016

View full text Add to dashboard Cite

show abstract

“…AIP consists of two distinct clinical and pathological entities. As both subtypes can mimic a malignant process, the diagnosis of AIP requires adequate clinical and pathological evaluation [13]. AIP type I is included in the spectrum of IgG4-related disease.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous occurrence of pancreatic mixed acinar-ductal adenocarcinoma and primary follicular lymphoma of the duodenum, accompanied by increased number of IgG4 plasma cells in tumor-free parenchyma as concomitant IgG4-related disease or reaction to tumor? A case report

Ranković¹,

Limbaeck-Stokin²,

Đokić³

et al. 2017

pjp

View full text Add to dashboard Cite

Mixed acinar-ductal carcinoma is rare among pancreatic cancers, as is duodenal involvement in follicular lymphoma (FL). Although usually a systemic disease, primary FL of the duodenum occurs, with superficial involvement of the intestinal wall and low risk of progression. We report on a unique case of mixed ductal-acinar carcinoma of the pancreatic head accompanied by low-grade duodenal FL and autoimmune pancreatitis-like changes in adjacent pancreatic parenchyma. To our knowledge this is the first report of concomitant pancreatic mixed acinar-ductal carcinoma and duodenal FL. Clinico-pathological features of this unusual case, possible relationship between the entities and differential diagnosis are discussed.

show abstract

“…The enlarged pancreatic parenchyma displayed decreased enhancement compared with the normal adjacent pancreatic parenchyma in the pancreatic phase on CT, with no dilatation of the main pancreatic duct. These imaging findings were considered typical of AIP (6). Due to the detection of an obstructive pattern on a liver function test, as well as an elevated serum IgG4 level, positive serum antinuclear antibodies and the CT imaging findings, the patient met the Clinical Diagnostic Criteria for Autoimmune Pancreatitis 2011 (6, 7) and Mar.…”

Section: Case Reportmentioning

confidence: 99%

Pericardial Involvement in IgG4-related Disease

et al. 2015

View full text Add to dashboard Cite

We herein report the case of a 65-year-old man with pericardial involvement associated with autoimmune pancreatitis. Chest CT imaging showed pericardial thickening. The patient responded to corticosteroid therapy, and the pericardial thickening resolved. Multiple organs are involved in immunoglobulin G4 (IgG4)-related disease (IgG4-RD); however, only a few cases of IgG4-related chronic constrictive pericarditis have been reported. To our knowledge, this is the first reported case of IgG4-RD with pericardial involvement at an early stage. This case indicates that recognizing pericardial complications in autoimmune pancreatitis is important and that CT imaging may be useful for obtaining the diagnosis and providing follow-up of pericardial lesions in cases of IgG4-RD.

show abstract

Diagnosis and classification of autoimmune pancreatitis

Cited by 46 publications

References 56 publications

Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment

Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment

Simultaneous occurrence of pancreatic mixed acinar-ductal adenocarcinoma and primary follicular lymphoma of the duodenum, accompanied by increased number of IgG4 plasma cells in tumor-free parenchyma as concomitant IgG4-related disease or reaction to tumor? A case report

Pericardial Involvement in IgG4-related Disease

Contact Info

Product

Resources

About