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腹部自身免疫性胰腺炎和 IgG4 相关疾病的影像学表现

Imaging in Autoimmune Pancreatitis and Immunoglobulin G4-Related Disease of the Abdomen.

机构信息

Department of Radiology, Indiana University School of Medicine, 550 North University Boulevard, UH0279, Indianapolis, IN 46202, USA.

Department of Radiology, Mayo Clinic School of Medicine, Mayo Clinic Hospital, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.

出版信息

Gastroenterol Clin North Am. 2018 Sep;47(3):603-619. doi: 10.1016/j.gtc.2018.04.007. Epub 2018 Jul 7.

Abstract

Autoimmune pancreatitis (AIP) is steroid-responsive fibroinflammatory disorder of the pancreas. There are 2 distinct subtypes of AIP, types 1 and 2. Type 1 is associated with systemic immunoglobulin (Ig)G4 disease and may affect multiple organs in the body. Type 2 is confined to the pancreas and shows an association with ulcerative colitis. This article describes the imaging findings of AIP and IgG4 disease in the liver, bile ducts, kidneys, and the retroperitoneal regions. The imaging differentiation of AIP from pancreas cancer is discussed.

摘要

自身免疫性胰腺炎(AIP)是一种胰腺的类固醇反应性纤维炎性疾病。AIP 有 2 种不同的亚型,1 型和 2 型。1 型与全身性免疫球蛋白(IgG)4 疾病相关,可能影响身体的多个器官。2 型局限于胰腺,与溃疡性结肠炎有关。本文描述了 AIP 和 IgG4 疾病在肝脏、胆管、肾脏和腹膜后区域的影像学表现。讨论了 AIP 与胰腺癌的影像学鉴别。

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