A case of synchronous IgG4-associated pleuritis and type 1 autoimmune pancreatitis.
Autoimmune pancreatitis
ERCP
EUS-FNA
IgG4-associated pleuritis
Journal
Clinical journal of gastroenterology
ISSN: 1865-7265
Titre abrégé: Clin J Gastroenterol
Pays: Japan
ID NLM: 101477246
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
received:
07
12
2022
accepted:
20
07
2023
medline:
27
11
2023
pubmed:
31
7
2023
entrez:
31
7
2023
Statut:
ppublish
Résumé
A 50-year-old man presented to the emergency department with left chest pain, epigastralgia, and low-grade fever for several days. A CT scan showed left pleural effusion, ground-glass opacities in the lower lobes of both lungs, and a capsule-like rim in the pancreas. ERCP showed narrowing of the main pancreatic duct. EUS-FNA was performed, but pathological findings showed no IgG4-positive cells. A thoracoscopic biopsy was performed, and pathological findings showed many IgG4-positive cells. A diagnosis of autoimmune pancreatitis and IgG4-associated pleurisy was made according to international diagnostic criteria. After that, oral steroid therapy was started, and left pleural effusion and pancreatic enlargement improved.
Identifiants
pubmed: 37523123
doi: 10.1007/s12328-023-01837-3
pii: 10.1007/s12328-023-01837-3
doi:
Substances chimiques
Immunoglobulin G
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
925-930Informations de copyright
© 2023. Japanese Society of Gastroenterology.
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