Idiopathic Duct-Centric Pancreatitis (IDCP) with Immunological Studies

被引：9

作者：

Kusuda, Takeo ^{[1
]}

Uchida, Kazushige ^{[1
]}

Satoi, Sohei ^{[2
]}

Koyabu, Masanori ^{[1
]}

Fukata, Norimasa ^{[1
]}

Miyoshi, Hideaki ^{[1
]}

Ikeura, Tsukasa ^{[1
]}

Sakaguchi, Yutaku ^{[1
]}

Yoshida, Katsunori ^{[1
]}

Fukui, Toshiro ^{[1
]}

Shimatani, Masaaki ^{[1
]}

Matsushita, Mitsunobu ^{[1
]}

Takaoka, Makoto ^{[1
]}

Nishio, Akiyoshi ^{[1
]}

Uemura, Yoshiko ^{[3
]}

Kwon, A-Hon ^{[2
]}

Okazaki, Kazuichi ^{[1
]}

机构：

[1] Kansai Med Univ, Div Gastroenterol & Hepatol, Dept Internal Med 3, Moriguchi, Osaka 570, Japan

[2] Kansai Med Univ, Dept Surg, Moriguchi, Osaka 570, Japan

[3] Kansai Med Univ, Dept Pathol, Moriguchi, Osaka 570, Japan

来源：

INTERNAL MEDICINE | 2010年 / 49卷 / 23期

关键词：

autoimmune pancreatitis (AIP); Idiopathic duct-centric pancreatitis (IDCP); lymphoplasmacytic sclerosing pancreatitis (LPSP); granulocytic epithelial lesion (GEL); IgG4; AUTOIMMUNE-RELATED PANCREATITIS; SCLEROSING PANCREATITIS; INFILTRATION; FEATURES; CRITERIA; PROPOSAL; DISEASE;

D O I：

10.2169/internalmedicine.49.4165

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 65-year-old woman with elevated serum levels of pancreatic enzymes was referred to our hospital for further examinations. Abdominal US and contrast-enhanced CT demonstrated swelling of the pancreas body and tail. MRCP and ERCP revealed abrupt ending of the MPD in the pancreas body. Under the suspicion of malignancy, distal pancreatectomy and splenectomy were performed. The histopathological findings showed idiopathic duct-centric pancreatitis (IDCP) with granulocytic epithelial lesions (GEL). As most cases of Japanese autoimmune pancreatitis (AIP) are lymphoplasmacytic sclerosing pancreatitis (LPSP), the present case seems to be helpful to clarify the clinical findings of IDCP in Japan.

引用

页码：2569 / 2575

页数：7

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