Blažević Tonka, Aničić Mirna Natalija, Ćavar Stanko, Vuković Jurica
Department of Pediatrics, General Hospital Zadar, BožePeričića5, 23000 Zadar, Croatia.
Department of Pediatrics, School of Medicine, University Hospital Centre Zagreb, University of Zagreb, Kišpatićeva12, 10000 Zagreb, Croatia.
Children (Basel). 2024 Sep 1;11(9):1075. doi: 10.3390/children11091075.
Autoimmune pancreatitis type 2 is a relatively novel entity with some still controversial issues. The current diagnostic algorithm relies on imaging studies and histology. Therapy includes corticosteroids with consequently low risk of relapse in the following year. However, the pathogenesis remains unclear, and data are insufficient for long-term prognosis. We have treated a 17-year-old boy whose autoimmune pancreatitis type 2 was revealed during surgery for a pre-existing biliary tract anomaly with concurrent protozoal infection. We discuss the co-occurrence of these conditions in terms of eventual pathogenesis correlation and combined effect on long-term prognosis.
2型自身免疫性胰腺炎是一种相对较新的疾病,仍存在一些有争议的问题。目前的诊断算法依赖于影像学检查和组织学检查。治疗包括使用皮质类固醇,因此次年复发风险较低。然而,其发病机制仍不清楚,且缺乏足够的数据用于长期预后评估。我们治疗了一名17岁男孩,他在因先前存在的胆道异常并发原生动物感染而进行的手术中被发现患有2型自身免疫性胰腺炎。我们从最终的发病机制相关性以及对长期预后的综合影响方面讨论了这些情况的共同出现。