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IgG4相关性硬化性胆管炎对类固醇治疗的良好反应:一例报告

A good response to steroid therapy in IgG4-related sclerosing cholangitis: a case report.

作者信息

Zhang Jingqiao, Guo Xiaozhong, Li Hongyu, Shao Xiaodong, Deng Jiao, Liang Zhendong, Zhang Xia, Feng Ji, Lin Hao, Qi Xingshun

机构信息

Department of Gastroenterology, General Hospital of Shenyang Military Area, Shenyang, China.

Department of Pharmacology, General Hospital of Shenyang Military Area, Shenyang, China.

出版信息

Clin Exp Hepatol. 2018 Sep;4(3):205-209. doi: 10.5114/ceh.2018.78126. Epub 2018 Sep 10.

DOI:10.5114/ceh.2018.78126
PMID:30324147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6185927/
Abstract

IgG4-related sclerosing cholangitis is a rare autoimmune liver disease. Biliary tract imaging, serum IgG4 concentration, and histopathological examination are the major diagnostic criteria for IgG4-related sclerosing cholangitis. In this paper, we report a male patient with yellowish skin, in whom classical liver-protection drugs were initially given, but the efficacy was poor. After that, IgG4-related sclerosing cholangitis was diagnosed, and he achieved a good response to steroid therapy.

摘要

IgG4相关性硬化性胆管炎是一种罕见的自身免疫性肝病。胆道成像、血清IgG4浓度及组织病理学检查是IgG4相关性硬化性胆管炎的主要诊断标准。在本文中,我们报告了一名皮肤发黄的男性患者,最初给予了经典的保肝药物,但疗效不佳。此后,该患者被诊断为IgG4相关性硬化性胆管炎,其对类固醇治疗反应良好。

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引用本文的文献

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Usefulness of ultrasonography to assess the response to steroidal therapy for the rare case of type 2b immunoglobulin G4-related sclerosing cholangitis without pancreatitis: A case report.超声检查在评估罕见的无胰腺炎的2b型免疫球蛋白G4相关性硬化性胆管炎对类固醇治疗反应中的应用:一例报告
World J Clin Cases. 2020 Nov 26;8(22):5821-5830. doi: 10.12998/wjcc.v8.i22.5821.
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Immunoglobulin G4-related sclerosing cholangitis mimicking cholangiocarcinoma: a case report and literature review.酷似胆管癌的免疫球蛋白G4相关性硬化性胆管炎:一例报告及文献复习
J Int Med Res. 2020 Oct;48(10):300060520959214. doi: 10.1177/0300060520959214.

本文引用的文献

1
Cholangiocarcinoma and its mimickers in primary sclerosing cholangitis.原发性硬化性胆管炎中的胆管癌及其类似物。
Abdom Radiol (NY). 2017 Dec;42(12):2898-2908. doi: 10.1007/s00261-017-1328-8.
2
IgG4-Related Cholangiopathy and Its Mimickers: A Case Report and Review Highlighting the Importance of Early Diagnosis.IgG4 相关性胆管炎及其模仿者:一例报告及综述强调早期诊断的重要性。
Int J Surg Pathol. 2018 Apr;26(2):165-173. doi: 10.1177/1066896917730902. Epub 2017 Sep 14.
3
Primary sclerosing cholangitis - a comprehensive review.原发性硬化性胆管炎——全面综述。
J Hepatol. 2017 Dec;67(6):1298-1323. doi: 10.1016/j.jhep.2017.07.022. Epub 2017 Aug 10.
4
Comparative clinical characteristics and natural history of three variants of sclerosing cholangitis: IgG4-related SC, PSC/AIH and PSC alone.比较三种硬化性胆管炎变异型(IgG4 相关硬化性胆管炎、PSC/AIH 和单纯 PSC)的临床特征和自然史。
Autoimmun Rev. 2017 Aug;16(8):875-882. doi: 10.1016/j.autrev.2017.05.018. Epub 2017 May 28.
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Pathogenesis and clinical spectrum of primary sclerosing cholangitis.原发性硬化性胆管炎的发病机制与临床谱
World J Gastroenterol. 2017 Apr 14;23(14):2459-2469. doi: 10.3748/wjg.v23.i14.2459.
6
Poor response of initial steroid therapy for IgG4-related sclerosing cholangitis with multiple organs affected.初始类固醇治疗对多器官受累的IgG4相关性硬化性胆管炎反应不佳。
Medicine (Baltimore). 2017 Mar;96(12):e6400. doi: 10.1097/MD.0000000000006400.
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Clinical Features, Response to Treatment, and Outcomes of IgG4-Related Sclerosing Cholangitis.IgG4 相关硬化性胆管炎的临床特征、治疗反应和结局。
Clin Gastroenterol Hepatol. 2017 Jun;15(6):920-926.e3. doi: 10.1016/j.cgh.2016.12.038. Epub 2017 Jan 20.
8
Long-term follow-up of children and adolescents with primary sclerosing cholangitis and autoimmune sclerosing cholangitis.原发性硬化性胆管炎和自身免疫性硬化性胆管炎儿童及青少年的长期随访
Hepatobiliary Pancreat Dis Int. 2016 Aug;15(4):412-8. doi: 10.1016/s1499-3872(16)60088-7.
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Development of a scoring system for differentiating IgG4-related sclerosing cholangitis from primary sclerosing cholangitis.一种用于鉴别IgG4相关性硬化性胆管炎与原发性硬化性胆管炎的评分系统的开发。
J Gastroenterol. 2017 Apr;52(4):483-493. doi: 10.1007/s00535-016-1246-5. Epub 2016 Jul 28.
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