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自身免疫性胰腺炎与有效的类固醇治疗

Autoimmune pancreatitis with effective steroid therapy.

作者信息

Hong Sung Pil, Park Seung Woo, Chung Jun Pyo, Chung Jae Bock, Kang Jin Kyung, Kim Jinna, Kim Myoung Jin, Park Young Nyun, Song Si Young

机构信息

Department of Internal Medicine, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, Korea.

出版信息

Yonsei Med J. 2003 Jun 30;44(3):534-8. doi: 10.3349/ymj.2003.44.3.534.

Abstract

Autoimmune pancreatitis has recently been described as a clinical entity that causes chronic pancreatitis. This unique form of chronic pancreatitis is characterized by minimal attacks of abdominal pain, irregular narrowing of the pancreatic duct, and a diffuse enlargement of the pancreas. Autoimmune pancreatitis is associated with hypergammaglobulinemia. In addition, there is histological evidence of lymphoplasmacytic inflammation, the occasional coexistence of other autoimmune diseases, and has a favorable response to glucocorticoid treatment. Recently autoimmune pancreatitis has been increasingly reported particularly in Japan. We report two patients with autoimmune pancreatitis who were treated successfully with corticosteroid therapy.

摘要

自身免疫性胰腺炎最近被描述为一种可导致慢性胰腺炎的临床实体。这种独特形式的慢性胰腺炎的特征是腹痛发作轻微、胰管不规则狭窄以及胰腺弥漫性肿大。自身免疫性胰腺炎与高球蛋白血症有关。此外,有淋巴细胞浆细胞性炎症的组织学证据,偶尔会合并其他自身免疫性疾病,并且对糖皮质激素治疗反应良好。最近,自身免疫性胰腺炎的报道越来越多,尤其是在日本。我们报告了两名成功接受皮质类固醇治疗的自身免疫性胰腺炎患者。

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