1. Kitagawa S, Zen Y, Harada K, Sasaki M, Sato Y, Minato H ,
et al. Abundant IgG4-positive plasma cell infiltration characterizes
chronic sclerosing sialadenitis (Küttner’s tumor). Am J Surg
Pathol 2005;29:783-91. [Crossref]
2. Yamamoto M, Harada S, Ohara M, Suzuki C, Naishiro Y, Yamamoto
H, et al. Clinical and pathological differences between
Mikulicz’s disease and Sjögren’s syndrome. Rheumatology
2005;44227-34. [Crossref]
3. Zen Y, Onodera M, Inoue D, Kitao A, Matsui O, Nohara T, et
al. Retroperitoneal fibrosis: a clinicopathologic study with respect
to immunoglobulin G4. Am J Surg Pathol 2009; 33:1833-
9. [Crossref]
4. Hamano H, Kawa S, Horiuchi A, Unno H, Furuya N, Akamatsu
T, et al. High serum IgG4 concentrations in patients with sclerosing
pancreatitis. N Engl J Med 2001;344:732-8. [Crossref]
5. Shimosegawa T, Chari ST, Frulloni L, Kamisawa T, Kawa S, Mino-Kenudson
M, et al. International consensus diagnostic criteria
for autoimmune pancreatitis: guidelines of the International Association
of Pancreatology. Pancreas 2011;40:352-8. [Crossref]
6. Takuma K, Kamisawa T, Igarashi Y. Autoimmune pancreatitis
and IgG4-releated sclerosing cholangitis. Curr Opin Rheumatol
2011;23:80- 7. [Crossref]
7. Okazaki K, Tomiyama T, Mitsuyama T, Sumimoto K,Uchida K.
Diagnosis and classification of autoimmune pancreatitis. Autoimmun
Rev 2014;13:451-8. [Crossref]
8. Kamisawa T, Okazaki K, Kawa S, Shimosegawa T, Tanaka M.
Japanese consensus guidelines for management of autoimmune
pancreatitis: III. Treatment and prognosis of AIP. J Gastroenetrol
2010;45:471-7. [Crossref]
9. Kamisawa T, Okamoto A, Wakabayashi T, Watanabe T, Sawabu
N. Appropriate steroid therapy for autoimmune pancreatitis
based on long-term outcome. Scand J Gastroenterol
2008;43:609-13. [Crossref]
10. Shimizu S, Naitoh I, Nakazawa T, Hayashi K, Okumura F, Miyabe
K, et al. A case of autoimmune pancreatitis showing narrowing
of the main pancreatic duct after cessation of steroid
therapy in the clinical course. Intern Med 2012;51:2135-40.
[Crossref
Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment
Year 2016,
Volume: 33 Issue: 4, 458 - 461, 01.07.2016
Background: Immunoglobulin G4 (IgG4)-associated diseases mostly involve the pancreatico-biliary tree and pancreatic parenchyma. This disease complex is characterized by marked response to corticosteroid therapy and response to steroids is incorporated in the diagnostic algorithm of IgG4 associated diseases. However, there is much unknown about the sequences and duration of healing during the corticosteroid therapy in the literature. Case Report: In this case report, we report a young male patient with IgG4 associated extrahepatic biliary stricture and autoimmune pancreatitis successfully treated with corticosteroids. Recovery in the laboratory and radiological radiological findings seemed to correlate well with the decrease in serum IgG4 levels in this patient. We also discussed sequences and the duration of healing in the pancreaticobiliary tree and pancreatic parenchymal manifestations in this case report. Conclusion: There is a gap in our knowledge about the evaluation of response criteria after steroid trial with regard to the duration and sequences of healing in the pancreaticobiliary involvement in diagnosing IgG4-related biliary and pancreatic diseases.
1. Kitagawa S, Zen Y, Harada K, Sasaki M, Sato Y, Minato H ,
et al. Abundant IgG4-positive plasma cell infiltration characterizes
chronic sclerosing sialadenitis (Küttner’s tumor). Am J Surg
Pathol 2005;29:783-91. [Crossref]
2. Yamamoto M, Harada S, Ohara M, Suzuki C, Naishiro Y, Yamamoto
H, et al. Clinical and pathological differences between
Mikulicz’s disease and Sjögren’s syndrome. Rheumatology
2005;44227-34. [Crossref]
3. Zen Y, Onodera M, Inoue D, Kitao A, Matsui O, Nohara T, et
al. Retroperitoneal fibrosis: a clinicopathologic study with respect
to immunoglobulin G4. Am J Surg Pathol 2009; 33:1833-
9. [Crossref]
4. Hamano H, Kawa S, Horiuchi A, Unno H, Furuya N, Akamatsu
T, et al. High serum IgG4 concentrations in patients with sclerosing
pancreatitis. N Engl J Med 2001;344:732-8. [Crossref]
5. Shimosegawa T, Chari ST, Frulloni L, Kamisawa T, Kawa S, Mino-Kenudson
M, et al. International consensus diagnostic criteria
for autoimmune pancreatitis: guidelines of the International Association
of Pancreatology. Pancreas 2011;40:352-8. [Crossref]
6. Takuma K, Kamisawa T, Igarashi Y. Autoimmune pancreatitis
and IgG4-releated sclerosing cholangitis. Curr Opin Rheumatol
2011;23:80- 7. [Crossref]
7. Okazaki K, Tomiyama T, Mitsuyama T, Sumimoto K,Uchida K.
Diagnosis and classification of autoimmune pancreatitis. Autoimmun
Rev 2014;13:451-8. [Crossref]
8. Kamisawa T, Okazaki K, Kawa S, Shimosegawa T, Tanaka M.
Japanese consensus guidelines for management of autoimmune
pancreatitis: III. Treatment and prognosis of AIP. J Gastroenetrol
2010;45:471-7. [Crossref]
9. Kamisawa T, Okamoto A, Wakabayashi T, Watanabe T, Sawabu
N. Appropriate steroid therapy for autoimmune pancreatitis
based on long-term outcome. Scand J Gastroenterol
2008;43:609-13. [Crossref]
10. Shimizu S, Naitoh I, Nakazawa T, Hayashi K, Okumura F, Miyabe
K, et al. A case of autoimmune pancreatitis showing narrowing
of the main pancreatic duct after cessation of steroid
therapy in the clinical course. Intern Med 2012;51:2135-40.
[Crossref
Şerifoğlu, İ., Öz, İ. İ., Üstündağ, Y., İlikhan, S. . U., et al. (2016). Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment. Balkan Medical Journal, 33(4), 458-461.
AMA
Şerifoğlu İ, Öz İİ, Üstündağ Y, İlikhan SU, Tokgöz Ö. Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment. Balkan Medical Journal. July 2016;33(4):458-461.
Chicago
Şerifoğlu, İsmail, İbrahim İlker Öz, Yücel Üstündağ, Sevil Uygun İlikhan, and Özlem Tokgöz. “Sequential Evaluation of Pancreato-Biliary Findings in a Case With IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis During Corticosteroid Treatment”. Balkan Medical Journal 33, no. 4 (July 2016): 458-61.
EndNote
Şerifoğlu İ, Öz İİ, Üstündağ Y, İlikhan SU, Tokgöz Ö (July 1, 2016) Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment. Balkan Medical Journal 33 4 458–461.
IEEE
İ. Şerifoğlu, İ. İ. Öz, Y. Üstündağ, S. . U. İlikhan, and Ö. Tokgöz, “Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment”, Balkan Medical Journal, vol. 33, no. 4, pp. 458–461, 2016.
ISNAD
Şerifoğlu, İsmail et al. “Sequential Evaluation of Pancreato-Biliary Findings in a Case With IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis During Corticosteroid Treatment”. Balkan Medical Journal 33/4 (July 2016), 458-461.
JAMA
Şerifoğlu İ, Öz İİ, Üstündağ Y, İlikhan SU, Tokgöz Ö. Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment. Balkan Medical Journal. 2016;33:458–461.
MLA
Şerifoğlu, İsmail et al. “Sequential Evaluation of Pancreato-Biliary Findings in a Case With IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis During Corticosteroid Treatment”. Balkan Medical Journal, vol. 33, no. 4, 2016, pp. 458-61.
Vancouver
Şerifoğlu İ, Öz İİ, Üstündağ Y, İlikhan SU, Tokgöz Ö. Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment. Balkan Medical Journal. 2016;33(4):458-61.