Liver atrophy and portal stenosis in two cases of sclerosing cholangitis associated with autoimmune pancreatitis.
Sclerosing cholangitis with autoimmune pancreatitis (SC with AIP) takes a better clinical course than primary sclerosing cholangitis due to the effectiveness of steroid therapy. However, the morphological and functional changes in SC with AIP during long-term observation have not yet been reported. We encountered two cases of SC with AIP that resulted in liver atrophy and portal obstruction during long-term observation. One case was followed up without steroid therapy. The other case was treated with endoscopic biliary drainage initially. These cases may provide further information regarding steroid therapy for SC with AIP.
Hirano
Atsuyuki
A
Department of Internal Medicine, Nagoya Higashi Municipal Hospital.
Nakazawa
Takahiro
T
Ohara
Hirotaka
H
Ando
Tomoaki
T
Hayashi
Kazuki
K
Tanaka
Hajime
H
Naito
Itaru
I
Okumura
Fumihiro
F
Yokoyama
Yoshifumi
Y
Joh
Takashi
T
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D001284:Atrophy; D001327:Autoimmune Diseases / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D015209:Cholangitis, Sclerosing / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology*; D008297:Male; D010195:Pancreatitis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*; D011169:Portal Vein / Q000473:pathology*; D013997:Time Factors; D014057:Tomography, X-Ray Computed
D000305:Adrenal Cortex Hormones