Tabata Taku, Kamisawa Terumi, Kuruma Sawako, Chiba Kazuro, Iwasaki Susumu, Kuwata Go, Fujiwara Takashi, Egashira Hideto, Koizumi Satomi, Endo Yuka, Koizumi Koichi, Fujiwara Junko, Arakawa Takeo, Momma Kumiko
Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo 113-8677, Japan.
Int J Rheumatol. 2013;2013:465428. doi: 10.1155/2013/465428. Epub 2013 Oct 30.
Because a diagnostic serological marker is unavailable, autoimmune pancreatitis (AIP) is diagnosed based on unique features. The diagnostic capabilities and potential limitations of four sets of diagnostic criteria for AIP (Japanese diagnostic criteria 2006 and 2011, Asian diagnostic criteria, and international consensus diagnostic criteria (ICDC)) were compared among 85 patients who were diagnosed AIP according to at least one of the four sets. AIP was diagnosed in 87%, 95%, 95%, and 95% of the patients according to the Japanese 2006, Asian, ICDC, and Japanese 2011 criteria, respectively. The ICDC can diagnose types 1 and 2 AIP independently and show high sensitivity for diagnosis of AIP. However, as the ICDC are rather complex, diagnostic criteria for AIP should perhaps be revised and tailored to each country based on the ICDC.
由于缺乏诊断性血清学标志物，自身免疫性胰腺炎（AIP）需根据独特特征进行诊断。在85例根据四套诊断标准中的至少一套被诊断为AIP的患者中，比较了四套AIP诊断标准（2006年和2011年日本诊断标准、亚洲诊断标准以及国际共识诊断标准（ICDC））的诊断能力和潜在局限性。根据2006年日本标准、亚洲标准、ICDC和2011年日本标准，分别有87%、95%、95%和95%的患者被诊断为AIP。ICDC能够独立诊断1型和2型AIP，且对AIP诊断具有较高敏感性。然而，由于ICDC相当复杂，AIP的诊断标准或许应基于ICDC进行修订并针对每个国家进行调整。
