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Pancreatitis autoinmune: experiencia clínica y revisión de la literatura / Autoimmune pancreatitis: report of 10 cases
Muñoz C, Sergio; Mancilla A, Carla; Moyano S, Leonor; Castillo T, Cecilia; Rossi F, Ricardo; Brahm B, Javier; Berger F, Zoltán.
Afiliação
  • Muñoz C, Sergio; Hospital Clínico Universidad de Chile. Departamento de Medicina Interna. Sección de Gastroenterología. CL
  • Mancilla A, Carla; Hospital Clínico Universidad de Chile. Departamento de Medicina Interna. Sección de Gastroenterología. CL
  • Moyano S, Leonor; Hospital Clínico Universidad de Chile. Departamento de Anatomía Patológica. CL
  • Castillo T, Cecilia; Hospital Clínico Universidad de Chile. Departamento de Cirugía. CL
  • Rossi F, Ricardo; Hospital Clínico Universidad de Chile. Departamento de Cirugía. CL
  • Brahm B, Javier; Hospital Clínico Universidad de Chile. Departamento de Medicina Interna. Sección de Gastroenterología. CL
  • Berger F, Zoltán; Hospital Clínico Universidad de Chile. Departamento de Medicina Interna. Sección de Gastroenterología. CL
Rev. méd. Chile ; 138(3): 295-302, mar. 2010. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-548163
Biblioteca responsável: BR1.1
ABSTRACT

Background:

Autoimmune pancreatitis is a special form of chronic pancreatitis, more common in men and usually presenting as obstructive jaundice or abdominal pain. It may be associated with other immunological disorders and sometimes it is possible to find positive serological markers. Typical images show pancreatic enlargement with focal or diffuse stenosis of the pancreatic duct but sometimes it presents as a focal pancreatic mass that is difficult to differentiate from pancreatic carcinoma.

Aim:

To report ten cases of autoimmune pancreatitis. Material and

Methods:

Retrospective review of clinical records of 10 patients aged 26 to 56 years (six males) with autoimmune pancreatitis.

Results:

The clinical presentation was obstructive jaundice in six cases, acute pancreatitis in two, persistent increase in serum amylase and Upase in one, and permanent abdominal pain and weight loss in one. On imaging studies, a circumscribed mass was founded in six patients. An endoscopic retrograde colangiopancreatography was performed in four patients showing an abnormal pancreatic duct in all. Six patients were operated and tissue for pathological study was obtained in five, showing inflammatory infiltration. Vive patients were treated with steroids with a good clinical response.

Conclusions:

Autoimmune pancreatitis must be borne in mind in the differential diagnosis of pancreatic lesions.
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Pancreatite / Doenças Autoimunes Tipo de estudo: Relato de casos Limite: Adulto / Feminino / Humanos / Masculino Idioma: Espanhol Revista: Rev. méd. Chile Assunto da revista: Medicina Ano de publicação: 2010 Tipo de documento: Artigo País de afiliação: Chile Instituição/País de afiliação: Hospital Clínico Universidad de Chile/CL

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Pancreatite / Doenças Autoimunes Tipo de estudo: Relato de casos Limite: Adulto / Feminino / Humanos / Masculino Idioma: Espanhol Revista: Rev. méd. Chile Assunto da revista: Medicina Ano de publicação: 2010 Tipo de documento: Artigo País de afiliação: Chile Instituição/País de afiliação: Hospital Clínico Universidad de Chile/CL
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