Diagnosis and Management of Autoimmune Pancreatitis

作者：Sugumar Aravind^*

来源：Gastroenterology Clinics of North America, 2012, 41(1): 9-+.

DOI：10.1016/j.gtc.2011.12.008

• Pancreatic cancer
• Idiopathic duct centric pancreatitis
• Lymphoplasmacytic sclerosing pancreatitis
• IgG4

Autoimmune pancreatitis is a rare, newly recognized type of chronic pancreatitis. Its histopathology, clinical presentation, and diagnostic profile differ from those of other types of pancreatitis. Although its clinical presentation can vary, it most closely resembles pancreatic cancer. Numerous publications from Japan, United States, and Europe have helped define this hitherto ill-defined disease and described two histologically distinct subtypes. Both are exquisitely sensitive to steroid therapy. Type 1 has been well described in the literature and multiple diagnostic criteria exist. Less is known about type 2, and although it can be suspected clinically, histologic confirmation is needed for definitive diagnosis.

• 出版日期2012-3