Sclerosing pancreato-cholangitis responsive to steroid therapy

Erkelens, G Willemien; Vleggaar, F.P.; Lesterhuis, Wilco; Buuren, Henk van; Werf, Sdj van der

doi:10.1016/s0140-6736(99)00603-0

Cited by 206 publications

(149 citation statements)

References 4 publications

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“…Imaging studies of the pancreas indicated that the pancreatic lesion in our patient coincided with sclerosing or autoimmune pancreatitis. Although the therapeutic effect of corticosteroids for Sjogren's syndromeis still controversial, this therapy is very effective for the pancreatitis seen in patients with this syndrome (13). In the present patient, corticosteroids markedly relieved the pancreatitis, as evidenced by ERCP findings (ll).…”

Section: Discussionsupporting

confidence: 46%

A Primary Sjoegren's Syndrome Patient with Marked Swelling of Multiple Exocrine Glands and Selerosing Pancreatitis.

et al. 2002

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A 55-year-old man suffered from nasal obstruction, swelling of the salivary glands, and diplopia caused by markedly enlarged lacrimal glands. The diagnosis of primary Sjogren's syndromewas madeby a positive Schirmer's test and nasal mucosal biopsy with severe lymphocyte infiltration. He was also found to have swelling of the whole pancreas and increased wall thickness in the commonbile duct and the gall bladder. His serum was positive for an anticarbonic anhydrase II antibody. Since carbonic anhydrase II is present in the ductal cells of various exocrine organs, this autoantibody is considered to be related to the pathogenesis of primary Sjogren's syndrome with a marked swelling of multiple exocrine organs. (Internal Medicine 41 : 749-753, 2002)

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Section: Discussionsupporting

confidence: 46%

A Primary Sjoegren's Syndrome Patient with Marked Swelling of Multiple Exocrine Glands and Selerosing Pancreatitis.

et al. 2002

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“…one is autoimmune inflammation and the other is an amyloidosis-related mechanism. Autoimmune pancreatitis is characterized by diffuse swelling of the pancreas with irregular stenosis of the main pancreatic duct, showing hyper-y-globulinemia and auto-antibodies in laboratory data and a favorable response to corticosteroid therapy (5)(6)(7)(8). This type of pancreatitis is sometimes associated with autoimmune disorders, particularly Sjogren' s syndrome (9-1 1).…”

Section: Discussionmentioning

confidence: 99%

Fatal Acute Pancreatitis with Cystic Formation in Reactive Systemic AA Amyloidosis Secondary to Rheumatoid Arthritis

Matsuda

Sakurai²,

Suzuki

et al. 2003

Intern. Med.

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Wereport a patient with reactive systemic AAamyloidosis secondary to rheumatoid arthritis who showed fatal acute pancreatitis with a cystic formation in the pancreas head. The pancreatitis rapidly worsened despite intensive treatment and resulted in death. In this patient severe deposition of amyloid in the gastrointestinal tract was considered to play an important role in the pathogenesis of the acute pancreatitis. This is an unusual complication in patients with AAamyloidosis, but we should consider it as a possible diagnosis whenpatients with AA amyloidosis show recurrent or intractable pain in the upperabdomen. (Internal Medicine 42: 888-892, 2003)

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“…It has emerged that AIP cases are frequently complicated with various extrapancreatic lesions, such as swelling of lacrimal gland and sialadenitis [65], pulmonary hilar lymph nodes swelling [49], sclerosing cholangitis [66,67], Fig. 6 Whole-body FDG-PET imaging of a patient with AIP.…”

Section: Extrapancreatic Organ Involvementmentioning

confidence: 99%

Autoimmune pancreatitis in Japan: overview and perspective

Shimosegawa

Kanno

2009

J Gastroenterol

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Since the rediscovery and definition of autoimmune pancreatitis (AIP) by Yoshida et al. in 1995, the disease has been attracting attention because of its unique clinical features and practical issues. This disease shows very impressive imaging findings, serological changes, and characteristic histopathology. It occurs most commonly in elderly males with painless jaundice or mild abdominal pain; resemblance in imaging findings between AIP and pancreatobiliary cancers poses an important practical issue of differentiation. With increasing recognition of AIP and accumulation of cases, another important feature of this disease has been revealed, i.e

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Sclerosing pancreato-cholangitis responsive to steroid therapy

Cited by 206 publications

References 4 publications

A Primary Sjoegren's Syndrome Patient with Marked Swelling of Multiple Exocrine Glands and Selerosing Pancreatitis.

A Primary Sjoegren's Syndrome Patient with Marked Swelling of Multiple Exocrine Glands and Selerosing Pancreatitis.

Fatal Acute Pancreatitis with Cystic Formation in Reactive Systemic AA Amyloidosis Secondary to Rheumatoid Arthritis

Autoimmune pancreatitis in Japan: overview and perspective

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