RESUMO
Autoimmune pancreatitis is uncommon, responds to steroids and is usually associated with diabetes mellitus. We report a 73 year-old male who, two months after a diagnosis of diabetes mellitus, presented with obstructive jaundice and weight loss. Abdominal magnetic resonance imaging was suggestive of an autoimmune pancreatitis and serum IgG4 was 339 mg/dl (normal range 3-201). The patient was treated with prednisone 40 mg/day with a good clinical and laboratory response. During outpatient care, the dose of prednisone was tapered.
Assuntos
Pancreatite Autoimune/complicações , Pancreatite Autoimune/tratamento farmacológico , Complicações do Diabetes , Diabetes Mellitus , Glucocorticoides/uso terapêutico , Prednisona/uso terapêutico , Idoso , Pancreatite Autoimune/diagnóstico por imagem , Complicações do Diabetes/complicações , Complicações do Diabetes/tratamento farmacológico , Diabetes Mellitus/tratamento farmacológico , Humanos , Hipoglicemiantes/uso terapêutico , Imunoglobulina G/sangue , Insulina/uso terapêutico , Imageamento por Ressonância Magnética , Masculino , Resultado do TratamentoRESUMO
Autoimmune pancreatitis is uncommon, responds to steroids and is usually associated with diabetes mellitus. We report a 73 year-old male who, two months after a diagnosis of diabetes mellitus, presented with obstructive jaundice and weight loss. Abdominal magnetic resonance imaging was suggestive of an autoimmune pancreatitis and serum IgG4 was 339 mg/dl (normal range 3-201). The patient was treated with prednisone 40 mg/day with a good clinical and laboratory response. During outpatient care, the dose of prednisone was tapered.
