Autoimmune Pancreatitis Associated with Various Extrapancreatic Lesions during a Long-term Clinical Course Successfully Treated with Azathioprine and Corticosteroid Maintenance Therapy

  • Naitoh Itaru
    Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences
  • Nakazawa Takahiro
    Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences
  • Ohara Hirotaka
    Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences
  • Sano Hitoshi
    Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences
  • Ando Tomoaki
    Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences
  • Hayashi Kazuki
    Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences
  • Tanaka Hajime
    Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences
  • Okumura Fumihiro
    Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences
  • Miyabe Katsuyuki
    Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences
  • Yoshida Michihiro
    Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences
  • Takahashi Satoru
    Department of Experimental Pathology and Tumor Biology, Nagoya City University Graduate School of Medical Sciences
  • Joh Takashi
    Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences

書誌事項

公開日
2009
資源種別
journal article
DOI
  • 10.2169/internalmedicine.48.2695
公開者
一般社団法人 日本内科学会

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説明

Autoimmune pancreatitis (AIP) is often associated with systemic extrapancreatic lesions, and the concept of IgG4-related autoimmune disease has been proposed. We report a 62-year-old woman with AIP associated with various extrapancreatic lesions during a long-term clinical course. These extrapancreatic lesions occurred after the withdrawal of steroid therapy. Sclerosing sialadenitis occurred before AIP, whereas autoimmune sensorineural hearing loss, allergic purpura and endocapillary proliferative glomerulonephritis occurred after AIP. However, no relapse was observed for 5 years after the start of maintenance therapy with prednisolone and azathioprine. <br>

収録刊行物

  • Internal Medicine

    Internal Medicine 48 (23), 2003-2007, 2009

    一般社団法人 日本内科学会

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