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Autoimmune pancreatitis is a unique form of chronic pancreatitis characterized by high serum IgG4 concentrations and abundant IgG4-bearing plasma cell infiltration in the pancreatic lesion, and it has been reported to be associated with a variety of extrapancreatic lesions, leading us to postulate the concept of a systemic inflammatory disease. To confirm this, we clarified the exact distribution of these extrapancreatic lesions and provide a panoramic view of them. Methods. The frequency, distribution, clinical characteristics, and pathology of five extrapancreatic lesions were determined in 64 patients with autoimmune pancreatitis by examining clinical and laboratory findings. Results. The most frequent extrapancreatic lesion was hilar lymphadenopathy (80.4%), followed by extrapancreatic bile duct lesions (73.9%), lachrymal and salivary gland lesions (39.1%), hypothyroidism (22.2%), and retroperitoneal fibrosis (12.5%). No patients had all five types of lesions. Patients with hilar lymphadenopathy or lachrymal and salivary gland lesions were found to have significantly higher IgG4 levels than those without (P = 0.0042 and 0.0227, respectively). Patients with three lesions were found to have significantly higher IgG4 levels than those with no lesion, suggesting that patients with multiple extrapancreatic lesions have active disease. Similar to pancreatic lesions, extrapancreatic lesions have a characteristic histological finding of abundant IgG4-bearing plasma cell infiltration, and they respond favorably to corticosteroid therapy. Conclusions. Autoimmune pancreatitis was recognized as a systemic inflammatory disease. 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  1. 050 医学部, 大学院医学系研究科
  2. 0501 学術論文

Prevalence and distribution of extrapancreatic lesions complicating autoimmune pancreatitis

http://hdl.handle.net/10091/406
440e84fa-5596-4a02-9174-0b7daa08f9e2
名前 / ファイル ライセンス アクション
AIP_and_extrapancreatic_lesions.pdf AIP_and_extrapancreatic_lesions.pdf (315.9 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2007-10-30
タイトル
言語 en
タイトル Prevalence and distribution of extrapancreatic lesions complicating autoimmune pancreatitis
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
著者 Hamano, H

× Hamano, H

WEKO 8693

en Hamano, H

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Arakura, N

× Arakura, N

WEKO 8694

en Arakura, N

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Muraki, T

× Muraki, T

WEKO 8695

en Muraki, T

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Ozaki, Y

× Ozaki, Y

WEKO 8696

en Ozaki, Y

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Kiyosawa, K

× Kiyosawa, K

WEKO 8697

en Kiyosawa, K

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Kawa, S

× Kawa, S

WEKO 8698

en Kawa, S

Search repository
信州大学研究者総覧へのリンク
氏名 Kawa, S
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.jakeOVkh.html
出版者
出版者 SPRINGER TOKYO
引用
内容記述タイプ Other
内容記述 JOURNAL OF GASTROENTEROLOGY. 41(12): 1197-1205 (2006)
書誌情報 JOURNAL OF GASTROENTEROLOGY

巻 41, 号 12, p. 1197-1205, 発行日 2006-12
内容記述
内容記述タイプ Other
内容記述 The original publication is available at www.springerlink.com.
資源タイプ(コンテンツの種類)
内容記述タイプ Other
内容記述 Article
ISSN
収録物識別子タイプ PISSN
収録物識別子 0944-1174
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA10988015
DOI
関連識別子
識別子タイプ DOI
関連識別子 https://doi.org/10.1007/s00535-006-1908-9
関連名称
関連名称 10.1007/s00535-006-1908-9
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
WoS
表示名 Web of Science
URL http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000244094200007
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