Dramatic Improvement of Glycemic Control by Promptly Starting Steroid Therapy at an Early Stage of Autoimmune Pancreatitis in a Subject with Type 2 Diabetes

被引：4

作者：

Irie, Shintaro ^{[1
]}

Anno, Takatoshi ^{[1
]}

Uji, Emiko ^{[1
]}

Nakamura, Jun ^{[2
]}

Kawasaki, Fumiko ^{[1
]}

Kawamoto, Hirofumi ^{[2
]}

Kaku, Kohei ^{[1
]}

Kaneto, Hideaki ^{[3
]}

机构：

[1] Kawasaki Med Sch, Dept Gen Internal Med 1, Kawasaki, Kanagawa, Japan

[2] Kawasaki Med Sch, Dept Gen Internal Med 2, Kawasaki, Kanagawa, Japan

[3] Kawasaki Med Sch, Dept Diabet Metab & Endocrinol, Kawasaki, Kanagawa, Japan

来源：

INTERNAL MEDICINE | 2019年 / 58卷 / 23期

关键词：

autoimmune pancreatitis; steroid therapy; insulin secretory capacity; MELLITUS; DIAGNOSIS;

D O I：

10.2169/internalmedicine.3198-19

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Glucocorticoid therapy is effective for treating autoimmune pancreatitis, but autoimmune pancreatitis itself and steroid therapy aggravate glycemic control. A 77-year-old man with type 2 diabetes was consulted due to aggravation of glycemic control. He was diagnosed with autoimmune pancreatitis. We promptly started glucocorticoid therapy for autoimmune pancreatitis and insulin therapy for glycemic control. Subsequently, both pancreatitis and diabetes were markedly ameliorated. After stopping glucocorticoid therapy, good glycemic control continued with diet therapy alone. Starting glucocorticoid therapy at an early stage of autoimmune pancreatitis is very important for preserving the insulin secretory capacity and improving glycemic control.

引用

页码：3427 / 3431

页数：5

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