Original Article
Clinical characteristics of 27 patients with type 1 autoimmune pancreatitis
Mengshi Chen, Xiaoyu Liang, Zhihui Lin, Longhao Sun
Published 2019-08-28
Cite as Chin J Hepatobiliary Surg, 2019, 25(8): 592-595. DOI: 10.3760/cma.j.issn.1007-8118.2019.08.008
Abstract
ObjectiveTo analyze the clinical characteristics of type 1 autoimmune pancreatitis (AIP) in patients.
MethodsThe clinical data of 27 patients with type 1 AIP treated at Fujian Provincial Hospital from January 2012 to October 2018 were retrospectively analyzed.
ResultsThere are 25 males (92.6%) and 2 females (7.4%) (ratio 12.5∶1). The age of disease onset was (59.5±14.3) years. The most common presenting symptoms were jaundice and abdominal pain (both 59.3%). The most common complication was IgG4-related sclerosing cholangitis (63.0%). Magnetic Resonance Cholangiopancreatograhpy (MRCP) conducted on 26 patients showed the diffuse type 1 AIP was most common (53.8%), only 2 patients (7.7%) presented with a main pancreatic duct stricture. The pancreatic segment of bile duct narrowing was very common (84.6%), and most patients presented as tapered narrowings (65.4%). Standard glucocorticoid therapy was given to these 27 patients who responded well with clinical and laboratory remissions. Two patients were given maintenance glucocorticoid therapy for a high level of serum IgG4.
ConclusionsType 1 AIP can present as a local manifestation of IgG4-related disease. The most common complication is IgG4-related sclerosing cholangitis. Glucocorticoid therapy was effective but some patients required maintenance therapy.
Key words:
Pancreatitis; Immunoglobulin G; Cholangiopancreatography, magnetic resonance; Autoimmune pancreatitis; Treatment outcome
Contributor Information
Mengshi Chen
Department of Gastroenterology, Fujian Provincial Hospital, Fuzhou 350001, China
Xiaoyu Liang
Department of General Surgery, Tianjin Medical University General Hospital, Tianjin 300070, China
Zhihui Lin
Department of Gastroenterology, Fujian Provincial Hospital, Fuzhou 350001, China
Longhao Sun
Department of General Surgery, Tianjin Medical University General Hospital, Tianjin 300070, China
