Title
Autoimmune pancreatitis type 1: a case report
Other title
[Pancreatitis autoinmune tipo 1: reporte de caso]
Date Issued
01 July 2017
Access level
metadata only access
Resource Type
journal article
Author(s)
Bellido-Caparó Á.
Aguilar V.
García C.
Tagle Arróspide M.
Abstract
Autoimmune pancreatitis type 1 (AIP) is the pancreatic manifestation of IgG4-related disease. The most frequent presentation of AIP is with obstructive jaundice. For definite diagnosis of type 1 Autoimmune pancreatitis international consensus diagnosis criteria (ICDC) for AIP are used. ICDC criteria include pancreatic parenchymal imaging, ductal imaging, serology, other organ involvement, histology, and response to steroid. We report a 52-years-old woman with rheumatoid arthritis without treatment presented with two months of abdominal pain in up-right quadrant with moderate intensity. She also presented jaundice, acholia, xerophtalmia, xerostomia, and a weight loss of 5 pounds. On examination jaundice, symmetrically enlarged submandibular glands, and epigastric pain was observed. On laboratory, a cholestasis pattern and conjugated bilirubin predominance was found. CT Abdominal, CMR revealed a dilated common bile duct with a diffuse pancreatic enlargement with delayed enhancement. Immunological studies show a IgG4 610 u/l and ANA 1/640. The patient responds to steroid clinically and in the laboratorial values. In conclusion, autoimmune pancreatitis type 1 should be suspected in case of an obstructive jaundice with a pancreatic inflammatory image, and complete ICDC criteria for a definite diagnosis.
Start page
254
End page
257
Volume
37
Issue
3
Language
Spanish
OCDE Knowledge area
Gastroenterología, Hepatología
Inmunología
Scopus EID
2-s2.0-85050195639
PubMed ID
Source
Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru
ISSN of the container
1609722X
Sources of information:
Directorio de Producción Científica
Scopus