title: [Autoimmune pancreatitis].
abstract: Autoimmune pancreatitis is a benign fibroinflammatory disease of the pancreas of probable autoimmune origin, which includes 2 different phenotypes: type 1 (lymphoplasmacytic sclerosing pancreatitis) and type 2 (idiopathic duct-centric pancreatitis). Its clinical presentation as obstructive jaundice in patients with a pancreatic mass is common and therefore it must be included in the differential diagnosis of pancreatic neoplasia. Many diagnostic criteria have been described throughout history. The most famous are the HISORT criteria of the Mayo Clinic and the international consensus criteria of 2011. One of the main features of autoimmune pancreatitis is its dramatic response to steroid therapy, without the need for surgical treatment. Knowledge of this disease can dramatically change the management of patients with obstructive jaundice, who would otherwise be subjected to a pancreaticoduodenectomy.
authors: Servicio de Aparato Digestivo, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España. Electronic address: carsenosiain@gmail.com.
authors: Carla
authors: C
authors: Senosiain Lalastra
authors: Servicio de Aparato Digestivo, Hospital Universitario Ramón y Cajal, Madrid, España.
authors: José Ramón
authors: JR
authors: Foruny Olcina
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001327:Autoimmune Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D001706:Biopsy; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging / Q000379:methods; D006801:Humans; D006942:Hypergammaglobulinemia / Q000097:blood / Q000150:complications; D007074:Immunoglobulin G / Q000097:blood; D041781:Jaundice, Obstructive / Q000209:etiology; D008214:Lymphocytes / Q000473:pathology; D010183:Pancreatic Ducts / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000175:diagnosis; D050500:Pancreatitis, Chronic / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D010641:Phenotype; D010950:Plasma Cells / Q000473:pathology; D011379:Prognosis; D012074:Remission Induction; D012598:Sclerosis
chemical_list: D000305:Adrenal Cortex Hormones; D007074:Immunoglobulin G
keywords: Autoimmune pancreatitis; IgG4; Pancreas; Pancreatitis autoinmune; Páncreas