Pinto K Esteban, Vargas R Cecilia, Gómez G Patricia, Durruty A Pilar, López S Gloria
Sección de Endocrinología y Diabetes, Hospital Clínico Universidad de Chile, Santiago, Chile.
Rev Med Chil. 2019 May;147(5):668-672. doi: 10.4067/S0034-98872019000500668.
Autoimmune pancreatitis is uncommon, responds to steroids and is usually associated with diabetes mellitus. We report a 73 year-old male who, two months after a diagnosis of diabetes mellitus, presented with obstructive jaundice and weight loss. Abdominal magnetic resonance imaging was suggestive of an autoimmune pancreatitis and serum IgG4 was 339 mg/dl (normal range 3-201). The patient was treated with prednisone 40 mg/day with a good clinical and laboratory response. During outpatient care, the dose of prednisone was tapered.
自身免疫性胰腺炎并不常见，对类固醇治疗有反应，且通常与糖尿病相关。我们报告一名73岁男性，在诊断糖尿病两个月后，出现梗阻性黄疸和体重减轻。腹部磁共振成像提示自身免疫性胰腺炎，血清IgG4为339mg/dl（正常范围3 - 201）。该患者接受泼尼松40mg/天治疗，临床和实验室检查均有良好反应。在门诊治疗期间，泼尼松剂量逐渐减少。
Zotero 插件