Autoimmune pancreatitis: a case report.
Autoimmune pancreatitis is a fibro-inflammatory form of chronic pancreatitis. It is diagnosed by the combination of imaging studies such as a CT scan and pancreatography, laboratory analyses that include IgG4 and/or autoantibodies, histopathological evaluations and positive response to corticosteroid therapy. We report the case of a 41-year-old female with a history of jaundice and increasing abdominal pain for two weeks prior to her clinic visit. Laboratory results were significant for an increase in alkaline phosphatase (ALP) and erythrocyte sedimentation rate (ESR). Magnetic resonance cholangiopancreatography (MRCP) confirmed areas of stenosis and dilatation in the pancreatic duct and in the intra- and extra-hepatic bile ducts similar to primary sclerosantcholangitis. Laboratory analyses showed increased levels of IgG4 with thepresence of antinuclear antibodies.
Assistant Professor, Department of Internal Medicine, Ghaem Hospital, Mashhad University of Medicine Sciences, Mashhad, Iran.
Masoumeh
M
Salari
Assistant Professor, Department of Gasteroenterology and Hepatology, Ghaem Hospital, Mashhad University of Medicine Sciences, Mashhad,Iran.
Mousareza
M
Hosseini
Associated Professor, Department of Radiology, Ghaem Hospital, Mashhad University of Medicine Sciences, Mashhad, Iran.
Sirous
S
Nekooei
Postgraduate Student, Department of Internal Medicine, School of Medicine, Mashhad University of Medicine Sciences, Mashhad, Iran.
Sajad
S
Ataei Azimi
Assistant Professor, Department of Gasteroenterology and Hepatology, Ghaem Hospital, Mashhad University of Medicine Sciences, Mashhad,Iran.
Mohammad Reza
MR
Farzanehfar
Autoimmune pancreatitis; Immunoglobulin G4; Sclerosant colangitis