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논문KCI 등재

16세 청소년에서 발생한 2형 자가면역 췌장염

Adolescent Type 2 Autoimmune Pancreatitis

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초록

There are two forms of autoimmune pancreatitis (AIP). Type 1 is associated with immunoglobulin G4 (IgG4)-related systemic fibro- inflammatory disease, whereas type 2 AIP is localized to the pancreas and not associated with IgG4. The number of children presenting with type 2 AIP has recently increased. Here, we report a case of type 2 AIP in a 16-year-old adolescent who presented with clinical acute pancreatitis and associated pancreatic masses. He was diagnosed with type 2 AIP based on pancreatic biopsy results showing granulocytic epithelial lesions and supportive radiological imaging and steroid responsiveness.

Abstract

There are two forms of autoimmune pancreatitis (AIP). Type 1 is associated with immunoglobulin G4 (IgG4)-related systemic fibro- inflammatory disease, whereas type 2 AIP is localized to the pancreas and not associated with IgG4. The number of children presenting with type 2 AIP has recently increased. Here, we report a case of type 2 AIP in a 16-year-old adolescent who presented with clinical acute pancreatitis and associated pancreatic masses. He was diagnosed with type 2 AIP based on pancreatic biopsy results showing granulocytic epithelial lesions and supportive radiological imaging and steroid responsiveness.

참고문헌 (10)

  1. Kamisawa T, "Standard steroid treatment for autoimmune pancreatitis", Gut, 58, pp.1504~1507 (2009)
  2. Stone JH, "IgG4-related disease", N Engl J Med, 366, pp.539~551 (2012)
  3. Sugumar A, "Autoimmune pancreatitis : pathologic subtypes and their implications for its diagnosis", Am J Gastroenterol, 104, pp.2308~2310 (2009)
  4. Sheers I, "Autoimmune pancreatitis in children: characteristic features, diagnosis, and management", Am J Gastoenterol 2017; 112;
  5. Song TJ, "Comparison of clinical findings between histologically confirmed type 1 and type 2autoimmune pancreatitis", J Gastroenterol Hepatol, 27, pp.700~708 (2012)
  6. Kamisawa T, "Recent advances in autoimmune pancreatitis : type 1 and type 2", Gut, 62, pp.1373~1380 (2013)
  7. Sah RP, "Differences in clinical profile and relapse rate of type 1 versus type 2 autoimmune pancreatitis", Gastroenterology, 139, pp.140~148 (2010)
  8. Kawa S, "Autoimmune pancreatitis complicated with inflammatory bowel disease and comparative study of type 1 and type 2 autoimmune pancreatitis", J Gastroenterol, 50, pp.805~815 (2015)
  9. Hart PA, "Long-term outcomes of autoimmune pancreatitis : a multicentre, international analysis", Gut, 62, pp.1771~1776 (2013)
  10. Shimosegawa T, "International consensus diagnostic criteria for autoimmune pancreatitis : guidelines of the International Association of Pancreatology", Pancreas, 40, pp.352~358 (2011)

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