Internal medicine (Tokyo, Japan) · 2017
Autoimmune Hemolytic Anemia Obscured by the Obstructive Jaundice Associated with IgG4-related Sclerosing Cholangitis in a Patient with Type 1 Autoimmune Pancreatitis: A Case Report and Review of the Literature.
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Yoshida Michihiro, Marumo Yoshiaki, Naitoh Itaru, Hayashi Kazuki, Miyabe Katsuyuki, Nishi Yuji, Fujita Yasuaki, Jinno Naruomi, Hori Yasuki, Natsume Makoto, Kato Akihisa, Iida Shinsuke, Joh Takashi
Аннотация
Type 1 autoimmune pancreatitis (AIP) is a pancreatic manifestation of IgG4-retated disease that is often associated with IgG4-related sclerosing cholangitis (IgG4-SC). Autoimmune hemolytic anemia (AIHA) is an immune-related disease that causes hemolytic anemia. Although type 1 AIP/IgG4-SC and AIHA have a shared etiology as a presumed autoimmune disease, they rarely overlap, and their association has not been clarified. Secondary AIHA might not be diagnosed appropriately because the obstructive jaundice observed in type 1 AIP/IgG4-SC can obscure the presence of hemolytic jaundice. We herein report a case of type 1 AIP/IgG4-SC overlapping with secondary AIHA along with a review of the literature.