A case of synchronous IgG4-associated pleuritis and type 1 autoimmune pancreatitis.
Clin J Gastroenterol
; 16(6): 925-930, 2023 Dec.
Article
en En
| MEDLINE
| ID: mdl-37523123
ABSTRACT
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.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Derrame Pleural
/
Pleuresia
/
Enfermedades Autoinmunes
/
Pancreatitis Autoinmune
Tipo de estudio:
Risk_factors_studies
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Clin J Gastroenterol
Año:
2023
Tipo del documento:
Article
País de afiliación:
Japón