RT Book, Section
A1 Greenberger, Norton J.
A2 Greenberger, Norton J.
A2 Blumberg, Richard S.
A2 Burakoff, Robert
SR Print(0)
ID 1119988599
T1 Autoimmune Pancreatitis
T2 CURRENT Diagnosis & Treatment: Gastroenterology, Hepatology, & Endoscopy, 3e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071837729
LK accessmedicine.mhmedical.com/content.aspx?aid=1119988599
RD 2024/04/24
AB ESSENTIALS  OF  DIAGNOSISPresentation  with  obstructive  jaundice  in  50-65%  of  patients.Diffuse  swelling  and  enlargement  of  the  pancreas,  especially  the  head,  the  latter  mimicking  carcinoma  of  the  pancreas.Diffuse  irregular  narrowing  of  the  pancreatic  duct  on  endoscopic  retrograde  cholangiopancreatography  (ERCP)  or  magnetic  resonance  cholangiopancreatography  (MRCP).Elevated  serum  immunoglobulin  G4  (IgG4)  level.Extrapancreatic  and  intrahepatic  bile  duct  strictures.Resolution  or  marked  improvement  in  pancreatic  and  extrapancreatic  manifestations  after  corticosteroid  treatment.Pancreatic  biopsies  reveal  extensive  fibrosis  and  lymphoplasmacytic  infiltration.HISORT  criteria  used  to  establish  the  diagnosis.