IgG4 related hypertrophic gastropathy. Report of one case

被引：2

作者：

Berger, Zoltan ^{[1
,4
]}

Lea-Plaza Puig, Maria Ignacia ^{[5
]}

Varela, Cristian ^{[2
]}

Becerra, Marina ^{[1
]}

Capetillo, Maria ^{[3
]}

Vargas, Juan ^{[3
]}

机构：

[1] Clin Davila, Dept Gastroenterol, Santiago, Chile

[2] Clin Davila, Dept Radiol, Santiago, Chile

[3] Clin Davila, Serv Anat Patol, Santiago, Chile

[4] Hosp Clin Univ Chile, Dept Med, Secc Gastroenterol, Santos Dumont 999, Santiago, Chile

[5] Univ Los Andes, Escuela Med, Santiago, Chile

来源：

REVISTA MEDICA DE CHILE | 2019年 / 147卷 / 01期

关键词：

Gastritis; Hypertrophic; Immunoglobulin G4-Related Disease; Pancreatitis; IGG4-RELATED DISEASE; AUTOIMMUNE PANCREATITIS; MASS;

D O I：

10.4067/S0034-98872019000100119

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

IgG4 related disease is a systemic autoimmune disease, which can affect different organs. The most common digestive manifestation is autoimmune pancreatitis (AIP), followed by involvement of bile ducts and the major papilla. The stomach is only rarely involved. We report a 71-year-old diabetic woman consulting for jaundice and weight loss. Abdominal CAT scan, cholangio resonance imaging, endosonography and a serum IgG4 of five times the normal value, lead to the diagnosis of an autoimmune pancreatitis. An upper gastrointestinal endoscopy showed a diffuse thickening of gastric folds. The pathological study confirmed the presence of IgG4 positive plasma cells. The patient was successfully treated with steroids.

引用

页码：119 / 124

页数：6

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