Autoimmune Pancreatitis with Histologically Proven Lymphoplasmacytic Sclerosing Pancreatitis with Granulocytic Epithelial Lesions

被引：10

作者：

Ikeura, Tsukasa ^{[1
]}

Takaoka, Makoto ^{[1
]}

Uchida, Kazushige ^{[1
]}

Shimatani, Masaaki ^{[1
]}

Miyoshi, Hideaki ^{[1
]}

Kusuda, Takeo ^{[1
]}

Kurishima, Akiko ^{[1
]}

Fukui, Yuri ^{[1
]}

Sumimoto, Kimi ^{[1
]}

Satoi, Sohei ^{[2
]}

Ohe, Chisato ^{[3
]}

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, Japan

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

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

来源：

INTERNAL MEDICINE | 2012年 / 51卷 / 07期

关键词：

autoimmune pancreatitis (AIP); lymphoplasmacytic sclerosing pancreatitis (LPSP); idiopathic duct-centric pancreatitis (IDCP); granulocytic epithelial lesion (GEL); IgG4; DIAGNOSTIC-CRITERIA; CONSENSUS; FEATURES; PROPOSAL;

D O I：

10.2169/internalmedicine.51.6859

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Recent histological and clinical studies have suggested the existence of 2 distinct types of autoimmune pancreatitis (AIP): type 1 AIP related to IgG4, exhibiting lymphoplasmacytic sclerosing pancreatitis (LPSP), and type 2 AIP related to granulocyte epithelial lesions (GELs), exhibiting idiopathic duct-centric chronic pancreatitis (IDCP). We herein present a case of type 1 AIP with histologically proven LPSP with GELs. This patient had neither serum IgG4 elevation nor MPD narrowing. In this case, the clinically and histologically atypical findings for type 1 AIP are intriguing.

引用

页码：733 / 737

页数：5

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