Lee Chang Min, Roh Myung Hwan, Jung Chang Kil, Won Jong Jin, Baek Yang Hyun, Lee Sung Wook, Choi Seok Ryeol, Cho Jin Han
Departments of Internal Medicine and Diagnostic Radiology, Dong-A University College of Medicine, Busan, Korea.
Korean J Gastroenterol. 2009 Jun;53(6):383-7. doi: 10.4166/kjg.2009.53.6.383.
Autoimmune pancreatitis is a distinct disease characterized by the presence of autoantibodies and hypergammaglobulinemia, inflammation of the pancreatic parenchyma, and irregular stricture of the pancreatic duct. The involvement of distal common bile duct is frequently observed, but intrahepatic bile duct involvement is very rare, which seem to have similar feature to primary sclerosing cholangitis. We report a case of the patient with autoimmune pancreatitis combined with extensive involvement of extrahepatic and intrahepatic bile duct, which had a favorable response to steroid therapy.
自身免疫性胰腺炎是一种独特的疾病,其特征为存在自身抗体和高球蛋白血症、胰腺实质炎症以及胰管不规则狭窄。常观察到肝外胆管受累,但肝内胆管受累非常罕见,这似乎与原发性硬化性胆管炎有相似特征。我们报告一例自身免疫性胰腺炎合并肝外和肝内胆管广泛受累的患者,该患者对类固醇治疗反应良好。