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[A case of IgG4 associated sclerosing cholangitis without clinical manifestations of autoimmune pancreatitis].

Abstract
IgG4-related systemic diseases are characterized by a diffuse or mass forming inflammatory reaction rich in lymphocytes and IgG4-positive plasma cells (lymphoplasmacytic infiltration), fibrosclerosis of variable organs and obliterative phlebitis. They usually involve various organs including the pancreas, bile duct, gallbladder, salivary gland, retroperitoneum, kidney, lung, and prostate. However, most of them are accompanied by autoimmune pancreatitis, and good response to steroid treatment is one of the hallmarks of this disease. We report a case of an 67-year-old man with IgG4 associated sclerosing cholangitis, who was diagnosed by endoscopic retrograde cholangiopancreatography and successfully treated with steroid therapy.
AuthorsSong Wook Chun, Ja Sung Choi, Beo Deul Kang, Yu Jin Kim, Ki Jun Han, Hyeon Geun Cho, Hwa Eun Oh, Jae Hee Cho
JournalThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi (Korean J Gastroenterol) Vol. 62 Issue 1 Pg. 69-74 (Jul 2013) ISSN: 2233-6869 [Electronic] Korea (South)
PMID23954964 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Inflammatory Agents
  • Immunoglobulin G
  • Prednisolone
Topics
  • Aged
  • Anti-Inflammatory Agents (therapeutic use)
  • Autoimmune Diseases (complications, diagnosis)
  • Bile Ducts, Intrahepatic (diagnostic imaging, pathology)
  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholangitis, Sclerosing (complications, diagnosis, drug therapy)
  • Common Bile Duct (diagnostic imaging, pathology)
  • Humans
  • Immunoglobulin G (blood)
  • Immunohistochemistry
  • Male
  • Pancreatitis (complications, diagnosis)
  • Prednisolone (therapeutic use)
  • Tomography, X-Ray Computed
  • Ultrasonography

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