Kwon Seunghyun, Kim Myung-Hwan, Choi Eugene K
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Pancreas. 2007 Apr;34(3):279-86. doi: 10.1097/MPA.0b013e31802eff5f.
Autoimmune chronic pancreatitis (AIP) is increasingly being recognized as a worldwide entity. In 2002, the Japan Pancreas Society published diagnostic criteria for AIP. Since then, increased attention toward this relatively new disease entity has enabled more cases of AIP to be correctly diagnosed, allowing for proper management and avoidance of surgery. Retrospective inclusion of previously unrecognized or misdiagnosed cases of AIP has revealed an increasing number of cases that are not in full accordance with the Japanese diagnostic criteria. As a result, some groups have developed and cited their own criteria in the reporting of AIP, and the Japan Pancreas Society criteria have also undergone revision recently. The absence of consistent and uniform criteria has made the comparison of different cases diagnosed under various guidelines difficult. In this review, we discuss and compare the 4 current diagnostic criteria, focusing on their own strength and weakness with the aim of providing a framework for the development of unified criteria that represent an international consensus.
自身免疫性慢性胰腺炎（AIP）日益被公认为一种全球性疾病。2002年，日本胰腺协会发布了AIP的诊断标准。自那时以来，对这一相对较新的疾病实体的关注度不断提高，使得更多AIP病例能够得到正确诊断，从而实现恰当的管理并避免手术。回顾性纳入先前未被认识或误诊的AIP病例发现，越来越多的病例并不完全符合日本的诊断标准。因此，一些团体在报告AIP时制定并引用了自己的标准，日本胰腺协会的标准最近也进行了修订。缺乏一致和统一的标准使得比较根据不同指南诊断的不同病例变得困难。在本综述中，我们讨论并比较了目前的4种诊断标准，重点关注它们各自的优缺点，旨在为制定代表国际共识的统一标准提供一个框架。
