Internal medicine (Tokyo, Japan) · 2007
Autoimmune pancreatitis with extreme elevation of DUPAN-2.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Mishima Shiho, Mizuta Yohei, Yamao Takuji, Yamakawa Masaki, Akazawa Yuko, Mishima Ryosuke, Ohba Kazuo, Masuda Jun-ich, Ohnita Ken, Isomoto Hajime, Shikuwa Saburo, Omagari Katsuhisa, Kohno Shigeru
Аннотация
An 80-year-old woman was admitted to our hospital with complaints of jaundice and liver dysfunction. She was found to have a high titer of serum IgG4, positive rheumatoid factor and marked elevation of DUPAN-2 (11,148 U/ml). Computed tomography showed swelling of the pancreas, and endoscopic retrograde cholangiopancreatography revealed diffuse irregular narrowing of the main pancreatic duct, which are typical findings of autoimmune pancreatitis. There was no evidence of malignancy. Administration of 30 mg/day of prednisolone was started. Computed tomography showed significant regression in the size of the pancreas, and the stenosis of the main pancreatic duct was improved on ERCP. The serum level of DUPAN-2 was also markedly decreased after the treatment.
Предметные рубрики MeSH
Acute DiseaseAdrenal Cortex HormonesAged, 80 and overAntigens, NeoplasmAutoimmune DiseasesBiomarkersCholangiopancreatography, Endoscopic RetrogradeDiagnosis, DifferentialFemaleHumansPancreatic Function TestsPancreatic NeoplasmsPancreatitisRisk AssessmentSeverity of Illness IndexTomography, X-Ray ComputedTreatment Outcome