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[自身免疫性胰腺炎:病例报告。]

[Autoimmune pancreatitis: case report.].

作者信息

De Lascurain-Morhan R E, Pérez-Páez I, Kimura-Fujikami Y, Niño-Solís J, Quiroz-Castro O, Ramírez-Luna M A, Romo-Aguirre C

机构信息

Departamento de Gastroenterología, Hospital Angeles del Pedregal. México, D. F.

出版信息

Rev Gastroenterol Mex. 2010;75(1):79-83.

Abstract

Autoimmune pancreatitis represents a chronic inflammatory pancreatic disease with distinct clinical, morphologic and histopathological features. We report the case of a 64 year old man with obstructive jaundice in whom the imaging studies showed diffuse enlargement of the pancreas, and a mass in its head. Fine needle aspiration biopsy of the mass guided by endoscopic ultrasound showed lymphocytic infiltration and fibrosis. The size of the pancreas, laboratory abnormalities, and clinical manifestations subsided promptly after treatment with steroids. Autoimmune pancreatitis should be included in the differential diagnosis of patients with obstructive jaundice and/or pancreatic masses.

摘要

自身免疫性胰腺炎是一种具有独特临床、形态学和组织病理学特征的慢性炎症性胰腺疾病。我们报告了一例64岁患有梗阻性黄疸的男性病例,其影像学检查显示胰腺弥漫性肿大,胰头有肿块。在内镜超声引导下对肿块进行细针穿刺活检显示淋巴细胞浸润和纤维化。使用类固醇治疗后,胰腺大小、实验室异常指标及临床表现迅速消退。自身免疫性胰腺炎应纳入梗阻性黄疸和/或胰腺肿块患者的鉴别诊断中。

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