A Case of Type 1 Autoimmune Pancreatitis

C. H. Ding, N. A. S. Muttaqillah, M. Rahman
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Abstract

Autoimmune pancreatitis (AIP) is a form of pancreatitis with clinical, serological and histological features of an autoimmune process. This is the case of a 32-year-old diabetic man who had been suffering from painless jaundice with pale stools and teacolored urine for 3 months prior to consultation. An endoscopic retrograde cholangiopancreatography revealed a proximal common bile duct stricture, and magnetic resonance cholangiopancreatography showed a bulky pancreatic head. His serum amylase level was mildly raised, and his serum IgG titer was markedly elevated. The serum alkaline phosphatase and conjugated biulirubin levels were high, suggesting an obstructive jaundice. A diagnosis of AIP was made and treated with steroids. He responded well to the steroid therapy.
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1型自身免疫性胰腺炎1例
自身免疫性胰腺炎(AIP)是一种具有自身免疫过程临床、血清学和组织学特征的胰腺炎。这是一个32岁的糖尿病患者,在就诊前3个月一直患有无痛性黄疸,大便苍白,尿液呈茶色。内窥镜逆行胰胆管造影显示胆总管近端狭窄,磁共振胰胆管造影显示胰头肿大。血清淀粉酶轻度升高,血清IgG滴度明显升高。血清碱性磷酸酶和偶联胆红素水平高,提示梗阻性黄疸。诊断为AIP并给予类固醇治疗。他对类固醇治疗反应良好。
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