title: Visual field deficit: a rare initial symptom of autoimmune pancreatitis.
abstract: An autoimmune pancreatitis (AIP) patient with metachronous and multiple extrapancreatic lesions is reported. Initial symptoms were proptosis, oculomotor deficits, and a visual field deficit of the left eye, and swelling of bilateral lacrimal glands. Swelling of the right salivary gland and elevated serum levels of hepatobiliary enzymes were detected. AIP associated with IgG4-related orbital pseudotumor, IgG4-related sclerosing dacryoadenitis and sialadenitis, and IgG4-related sclerosing cholangitis was diagnosed. All symptoms and lesions improved with steroid therapy. Although an orbital pseudotumor is a rare extrapancreatic lesion of AIP, we should know that AIP patients may describe unusual symptoms such as abnormal visual field.
authors.affiliation: Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, Japan.
authors.forename: Kensuke
authors.initials: K
authors.lastname: Takuma
authors.forename: Terumi
authors.initials: T
authors.lastname: Kamisawa
authors.forename: Taku
authors.initials: T
authors.lastname: Tabata
authors.forename: Yosihiko
authors.initials: Y
authors.lastname: Inaba
authors.forename: Naoto
authors.initials: N
authors.lastname: Egawa
authors.forename: Noriko
authors.initials: N
authors.lastname: Ozaki
authors.forename: Shin-ichiro
authors.initials: S
authors.lastname: Horiguchi
authors.forename: Sanae
authors.initials: S
authors.lastname: Takuma
mesh_terms: D000368:Aged; D001327:Autoimmune Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology*; D015209:Cholangitis, Sclerosing / Q000150:complications / Q000188:drug therapy; D003607:Dacryocystitis / Q000150:complications / Q000188:drug therapy; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D008297:Male; D016727:Orbital Pseudotumor / Q000150:complications / Q000188:drug therapy; D010195:Pancreatitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology*; D011239:Prednisolone / Q000627:therapeutic use; D012793:Sialadenitis / Q000150:complications / Q000188:drug therapy; D014794:Visual Fields
chemical_list: D007074:Immunoglobulin G; D011239:Prednisolone