氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描显示自发缓解的自身免疫性胰腺炎
Autoimmune pancreatitis with spontaneous remission on F-fluorodeoxyglucose positron emission tomography/computed tomography.
作者信息
Kusano Yoshiro
机构信息
Third Department of Internal Medicine, Shirakawa Kosei General Hospital, Japan.
出版信息
J Rural Med. 2019 May;14(1):110-115. doi: 10.2185/jrm.2974. Epub 2019 May 30.
Abstract
A 79-year-old man with elevated blood glucose was started on insulin therapy. IgG4 was as high as 1,830 mg/dL, and F-fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) confirmed diffuse pancreatic enlargement and accumulation of FDG. Based on the above, autoimmune pancreatitis (AIP) was diagnosed, but steroid treatment was not performed. IgG4 later declined, and FDG accumulation in the pancreas disappeared on FDG-PET/CT at the age of 83 years. AIP was thought to have gradually remitted spontaneously over time. FDG-PET/CT is useful for evaluating AIP activity.
摘要
一名血糖升高的79岁男性开始接受胰岛素治疗。IgG4高达1830mg/dL，氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（FDG-PET/CT）证实胰腺弥漫性肿大及FDG摄取。基于上述情况，诊断为自身免疫性胰腺炎（AIP），但未进行类固醇治疗。后来IgG4下降，83岁时胰腺的FDG摄取在FDG-PET/CT上消失。AIP被认为随时间推移逐渐自发缓解。FDG-PET/CT对评估AIP的活动情况很有用。
相似文献
1
Autoimmune pancreatitis with spontaneous remission on F-fluorodeoxyglucose positron emission tomography/computed tomography.
J Rural Med. 2019 May;14(1):110-115. doi: 10.2185/jrm.2974. Epub 2019 May 30.
2
The efficacy of whole-body FDG-PET or PET/CT for autoimmune pancreatitis and associated extrapancreatic autoimmune lesions.
Eur J Nucl Med Mol Imaging. 2007 Dec;34(12):2088-95. doi: 10.1007/s00259-007-0562-7. Epub 2007 Aug 23.
3
The utility of FDG-PET/CT and other imaging techniques in the evaluation of IgG4-related disease.
Joint Bone Spine. 2014 Jul;81(4):331-6. doi: 10.1016/j.jbspin.2014.01.010. Epub 2014 Feb 22.
4
F- FDG PET/CT helps differentiate autoimmune pancreatitis from pancreatic cancer.
BMC Cancer. 2017 Oct 23;17(1):695. doi: 10.1186/s12885-017-3665-y.
5
Usefulness of positron emission tomography in the evaluation of distribution and activity of systemic lesions associated with autoimmune pancreatitis.
Pancreatology. 2009;9(5):694-9. doi: 10.1159/000199439. Epub 2009 Aug 14.
6
Is (18)F-fluorodeoxyglucose positron emission tomography meaningful for estimating the efficacy of corticosteroid therapy in patients with autoimmune pancreatitis?
J Hepatobiliary Pancreat Sci. 2010 May;17(3):269-74. doi: 10.1007/s00534-009-0172-9. Epub 2009 Sep 2.
7
Localized F-fluorodeoxyglucose uptake at the pancreatic head during remission phase of autoimmune pancreatitis: A case report.
Oncol Lett. 2016 Sep;12(3):1801-1805. doi: 10.3892/ol.2016.4815. Epub 2016 Jul 6.
8
Autoimmune pancreatitis: whole-body 18F-FDG PET/CT findings.
Abdom Imaging. 2013 Jun;38(3):543-9. doi: 10.1007/s00261-012-9966-3.
9
FDG PET and PET/CT monitoring of autoimmune pancreatitis associated with extrapancreatic autoimmune disease.
Clin Nucl Med. 2007 Apr;32(4):282-5. doi: 10.1097/01.rlu.0000257295.12017.ab.
10
FDG-PET/CT findings of autoimmune pancreatitis.
Hepatogastroenterology. 2010 May-Jun;57(99-100):447-50.
引用本文的文献
1
Spontaneous remission of autoimmune pancreatitis: Four case reports.
World J Clin Cases. 2022 Aug 16;10(23):8232-8241. doi: 10.12998/wjcc.v10.i23.8232.
本文引用的文献
1
[Case report: a case of IgG4-associated autoimmune pancreatitis accompanying liver inflammatory pseudotumor].
Nihon Naika Gakkai Zasshi. 2012 Feb 10;101(2):468-71. doi: 10.2169/naika.101.468.
2
Long-term prognosis of autoimmune pancreatitis in terms of glucose tolerance.
Pancreas. 2012 Jul;41(5):691-5. doi: 10.1097/MPA.0b013e31823bcdee.
3
Factors predictive of relapse and spontaneous remission of autoimmune pancreatitis patients treated/not treated with corticosteroids.
J Gastroenterol. 2011 Jun;46(6):834-42. doi: 10.1007/s00535-011-0393-y. Epub 2011 Apr 15.
4
Utility of 18F-FDG PET/CT for differentiation of autoimmune pancreatitis with atypical pancreatic imaging findings from pancreatic cancer.
AJR Am J Roentgenol. 2009 Aug;193(2):343-8. doi: 10.2214/AJR.08.2297.
5
Autoimmune pancreatitis: disease evolution, staging, response assessment, and CT features that predict response to corticosteroid therapy.
Radiology. 2009 Jan;250(1):118-29. doi: 10.1148/radiol.2493080279. Epub 2008 Nov 18.
6
Clinical factors predictive of spontaneous remission or relapse in cases of autoimmune pancreatitis.
Gastrointest Endosc. 2007 Dec;66(6):1142-51. doi: 10.1016/j.gie.2007.06.059.
7
Treatment for autoimmune pancreatitis: consensus on the treatment for patients with autoimmune pancreatitis in Japan.
J Gastroenterol. 2007 May;42 Suppl 18:50-8. doi: 10.1007/s00535-007-2051-y.
8
Evaluation of pancreatic endocrine and exocrine function in patients with autoimmune pancreatitis.
Pancreas. 2007 Mar;34(2):254-9. doi: 10.1097/01.mpa.0000250127.18908.38.
9
Influence of steroid therapy on the course of diabetes mellitus in patients with autoimmune pancreatitis: findings from a nationwide survey in Japan.
Pancreas. 2006 Apr;32(3):244-8. doi: 10.1097/01.mpa.0000202950.02988.07.
10
Systemic extrapancreatic lesions associated with autoimmune pancreatitis.
Pancreas. 2005 Oct;31(3):232-7. doi: 10.1097/01.mpa.0000175178.85786.1d.
Zotero 插件