Autoimmune pancreatitis history and symptoms: Difference between revisions
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*Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. | *Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. | ||
===History=== | ===History=== | ||
Patients with | Patients with autoimmune pancreatitis may not have a positive history of: | ||
* | *Alcohol abuse | ||
* | *Other predisposing factors of chronic pancreatitis | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
Common symptoms of autoimmune pancreatitis include: | Common symptoms of autoimmune pancreatitis include: | ||
*Mild abdominal pain<ref name="pmid19568232">{{cite journal |vauthors=Frulloni L, Scattolini C, Falconi M, Zamboni G, Capelli P, Manfredi R, Graziani R, D'Onofrio M, Katsotourchi AM, Amodio A, Benini L, Vantini I |title=Autoimmune pancreatitis: differences between the focal and diffuse forms in 87 patients |journal=Am. J. Gastroenterol. |volume=104 |issue=9 |pages=2288–94 |year=2009 |pmid=19568232 |doi=10.1038/ajg.2009.327 |url=}}</ref><ref name="pmid14628814">{{cite journal |vauthors=Varadarajulu S, Cotton PB |title=Autoimmune pancreatitis: is it relevant in the west? |journal=Gastroenterology |volume=125 |issue=5 |pages=1557 |year=2003 |pmid=14628814 |doi= |url=}}</ref> | *Mild abdominal pain<ref name="pmid19568232">{{cite journal |vauthors=Frulloni L, Scattolini C, Falconi M, Zamboni G, Capelli P, Manfredi R, Graziani R, D'Onofrio M, Katsotourchi AM, Amodio A, Benini L, Vantini I |title=Autoimmune pancreatitis: differences between the focal and diffuse forms in 87 patients |journal=Am. J. Gastroenterol. |volume=104 |issue=9 |pages=2288–94 |year=2009 |pmid=19568232 |doi=10.1038/ajg.2009.327 |url=}}</ref><ref name="pmid14628814">{{cite journal |vauthors=Varadarajulu S, Cotton PB |title=Autoimmune pancreatitis: is it relevant in the west? |journal=Gastroenterology |volume=125 |issue=5 |pages=1557 |year=2003 |pmid=14628814 |doi= |url=}}</ref> | ||
*Abdominal mass/Pancreatic mass<ref name="pmid19532132">{{cite journal |vauthors=Raina A, Yadav D, Krasinskas AM, McGrath KM, Khalid A, Sanders M, Whitcomb DC, Slivka A |title=Evaluation and management of autoimmune pancreatitis: experience at a large US center |journal=Am. J. Gastroenterol. |volume=104 |issue=9 |pages=2295–306 |year=2009 |pmid=19532132 |doi=10.1038/ajg.2009.325 |url=}}</ref> | *Abdominal mass/Pancreatic mass<ref name="pmid19532132">{{cite journal |vauthors=Raina A, Yadav D, Krasinskas AM, McGrath KM, Khalid A, Sanders M, Whitcomb DC, Slivka A |title=Evaluation and management of autoimmune pancreatitis: experience at a large US center |journal=Am. J. Gastroenterol. |volume=104 |issue=9 |pages=2295–306 |year=2009 |pmid=19532132 |doi=10.1038/ajg.2009.325 |url=}}</ref> | ||
* | *Painless jaundice<ref name="pmid18222442">{{cite journal |vauthors=Ghazale A, Chari ST, Zhang L, Smyrk TC, Takahashi N, Levy MJ, Topazian MD, Clain JE, Pearson RK, Petersen BT, Vege SS, Lindor K, Farnell MB |title=Immunoglobulin G4-associated cholangitis: clinical profile and response to therapy |journal=Gastroenterology |volume=134 |issue=3 |pages=706–15 |year=2008 |pmid=18222442 |doi=10.1053/j.gastro.2007.12.009 |url=}}</ref><ref name="pmid17894845">{{cite journal |vauthors=Church NI, Pereira SP, Deheragoda MG, Sandanayake N, Amin Z, Lees WR, Gillams A, Rodriguez-Justo M, Novelli M, Seward EW, Hatfield AR, Webster GJ |title=Autoimmune pancreatitis: clinical and radiological features and objective response to steroid therapy in a UK series |journal=Am. J. Gastroenterol. |volume=102 |issue=11 |pages=2417–25 |year=2007 |pmid=17894845 |doi=10.1111/j.1572-0241.2007.01531.x |url=}}</ref><ref name="pmid15459324">{{cite journal |vauthors=Sahani DV, Kalva SP, Farrell J, Maher MM, Saini S, Mueller PR, Lauwers GY, Fernandez CD, Warshaw AL, Simeone JF |title=Autoimmune pancreatitis: imaging features |journal=Radiology |volume=233 |issue=2 |pages=345–52 |year=2004 |pmid=15459324 |doi=10.1148/radiol.2332031436 |url=}}</ref><ref name="pmid19345283">{{cite journal |vauthors=Sandanayake NS, Church NI, Chapman MH, Johnson GJ, Dhar DK, Amin Z, Deheragoda MG, Novelli M, Winstanley A, Rodriguez-Justo M, Hatfield AR, Pereira SP, Webster GJ |title=Presentation and management of post-treatment relapse in autoimmune pancreatitis/immunoglobulin G4-associated cholangitis |journal=Clin. Gastroenterol. Hepatol. |volume=7 |issue=10 |pages=1089–96 |year=2009 |pmid=19345283 |doi=10.1016/j.cgh.2009.03.021 |url=}}</ref> | ||
*Weight loss | |||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
Less common symptoms of autoimmune pancreatitis include | Less common symptoms of autoimmune pancreatitis include | ||
*Peripancreatic vascular complications.<ref name="pmid19532132">{{cite journal |vauthors=Raina A, Yadav D, Krasinskas AM, McGrath KM, Khalid A, Sanders M, Whitcomb DC, Slivka A |title=Evaluation and management of autoimmune pancreatitis: experience at a large US center |journal=Am. J. Gastroenterol. |volume=104 |issue=9 |pages=2295–306 |year=2009 |pmid=19532132 |doi=10.1038/ajg.2009.325 |url=}}</ref> | *Peripancreatic vascular complications.<ref name="pmid19532132">{{cite journal |vauthors=Raina A, Yadav D, Krasinskas AM, McGrath KM, Khalid A, Sanders M, Whitcomb DC, Slivka A |title=Evaluation and management of autoimmune pancreatitis: experience at a large US center |journal=Am. J. Gastroenterol. |volume=104 |issue=9 |pages=2295–306 |year=2009 |pmid=19532132 |doi=10.1038/ajg.2009.325 |url=}}</ref> | ||
* | * | ||
=== Extra-pancreatic involvement depending upon the various stages of autoimmune pancreatitis: === | === Extra-pancreatic involvement depending upon the various stages of autoimmune pancreatitis: === | ||
Revision as of 19:58, 27 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
The majority of patients with [disease name] are asymptomatic.
OR
The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History and Symptoms
- The majority of patients with [disease name] are asymptomatic.
OR
- The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
- Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History
Patients with autoimmune pancreatitis may not have a positive history of:
- Alcohol abuse
- Other predisposing factors of chronic pancreatitis
Common Symptoms
Common symptoms of autoimmune pancreatitis include:
- Mild abdominal pain[1][2]
- Abdominal mass/Pancreatic mass[3]
- Painless jaundice[4][5][6][7]
- Weight loss
Less Common Symptoms
Less common symptoms of autoimmune pancreatitis include
- Peripancreatic vascular complications.[3]
Extra-pancreatic involvement depending upon the various stages of autoimmune pancreatitis:
Autoimmune pancreatitis can present in a variety of ways depending upon the stage of involvement.[8][4][3][9][10][11][12][13][5]
| Organ/System | Disease/manifestation |
|---|---|
| Bile ducts | IgG4-associated cholangitis |
| Salivary gland | Chronic sclerosing sialadenitis (Küttner's tumor) |
| Mikulicz's disease (IgG4-related plasmacytic exocrinopathy) | |
| Chest | Patchy ground glass, nodular, and consolidative lung opacities |
| Mediastinal fibrosis, adenopathy | |
| Retroperitoneum | Chronic periaortitis
|
| Kidneys | Tubulointerstitial nephritis |
| Orbits | IgG4-associated pseudolymphoma |
| Inflammatory bowel disease | Ulcerative colitis |
References
- ↑ Frulloni L, Scattolini C, Falconi M, Zamboni G, Capelli P, Manfredi R, Graziani R, D'Onofrio M, Katsotourchi AM, Amodio A, Benini L, Vantini I (2009). "Autoimmune pancreatitis: differences between the focal and diffuse forms in 87 patients". Am. J. Gastroenterol. 104 (9): 2288–94. doi:10.1038/ajg.2009.327. PMID 19568232.
- ↑ Varadarajulu S, Cotton PB (2003). "Autoimmune pancreatitis: is it relevant in the west?". Gastroenterology. 125 (5): 1557. PMID 14628814.
- ↑ 3.0 3.1 3.2 Raina A, Yadav D, Krasinskas AM, McGrath KM, Khalid A, Sanders M, Whitcomb DC, Slivka A (2009). "Evaluation and management of autoimmune pancreatitis: experience at a large US center". Am. J. Gastroenterol. 104 (9): 2295–306. doi:10.1038/ajg.2009.325. PMID 19532132.
- ↑ 4.0 4.1 Ghazale A, Chari ST, Zhang L, Smyrk TC, Takahashi N, Levy MJ, Topazian MD, Clain JE, Pearson RK, Petersen BT, Vege SS, Lindor K, Farnell MB (2008). "Immunoglobulin G4-associated cholangitis: clinical profile and response to therapy". Gastroenterology. 134 (3): 706–15. doi:10.1053/j.gastro.2007.12.009. PMID 18222442.
- ↑ 5.0 5.1 Church NI, Pereira SP, Deheragoda MG, Sandanayake N, Amin Z, Lees WR, Gillams A, Rodriguez-Justo M, Novelli M, Seward EW, Hatfield AR, Webster GJ (2007). "Autoimmune pancreatitis: clinical and radiological features and objective response to steroid therapy in a UK series". Am. J. Gastroenterol. 102 (11): 2417–25. doi:10.1111/j.1572-0241.2007.01531.x. PMID 17894845.
- ↑ Sahani DV, Kalva SP, Farrell J, Maher MM, Saini S, Mueller PR, Lauwers GY, Fernandez CD, Warshaw AL, Simeone JF (2004). "Autoimmune pancreatitis: imaging features". Radiology. 233 (2): 345–52. doi:10.1148/radiol.2332031436. PMID 15459324.
- ↑ Sandanayake NS, Church NI, Chapman MH, Johnson GJ, Dhar DK, Amin Z, Deheragoda MG, Novelli M, Winstanley A, Rodriguez-Justo M, Hatfield AR, Pereira SP, Webster GJ (2009). "Presentation and management of post-treatment relapse in autoimmune pancreatitis/immunoglobulin G4-associated cholangitis". Clin. Gastroenterol. Hepatol. 7 (10): 1089–96. doi:10.1016/j.cgh.2009.03.021. PMID 19345283.
- ↑ Hirano K, Shiratori Y, Komatsu Y, Yamamoto N, Sasahira N, Toda N, Isayama H, Tada M, Tsujino T, Nakata R, Kawase T, Katamoto T, Kawabe T, Omata M (2003). "Involvement of the biliary system in autoimmune pancreatitis: a follow-up study". Clin. Gastroenterol. Hepatol. 1 (6): 453–64. PMID 15017645.
- ↑ Tabata M, Kitayama J, Kanemoto H, Fukasawa T, Goto H, Taniwaka K (2003). "Autoimmune pancreatitis presenting as a mass in the head of the pancreas: a diagnosis to differentiate from cancer". Am Surg. 69 (5): 363–6. PMID 12769204.
- ↑ Erkelens GW, Vleggaar FP, Lesterhuis W, van Buuren HR, van der Werf SD (1999). "Sclerosing pancreato-cholangitis responsive to steroid therapy". Lancet. 354 (9172): 43–4. PMID 10406367.
- ↑ Kojima E, Kimura K, Noda Y, Kobayashi G, Itoh K, Fujita N (2003). "Autoimmune pancreatitis and multiple bile duct strictures treated effectively with steroid". J. Gastroenterol. 38 (6): 603–7. PMID 12856677.
- ↑ Horiuchi A, Kaneko T, Yamamura N, Nagata A, Nakamura T, Akamatsu T, Mukawa K, Kawa S, Kiyosawa K (1996). "Autoimmune chronic pancreatitis simulating pancreatic lymphoma". Am. J. Gastroenterol. 91 (12): 2607–9. PMID 8946997.
- ↑ Hamano H, Kawa S, Uehara T, Ochi Y, Takayama M, Komatsu K, Muraki T, Umino J, Kiyosawa K, Miyagawa S (2005). "Immunoglobulin G4-related lymphoplasmacytic sclerosing cholangitis that mimics infiltrating hilar cholangiocarcinoma: part of a spectrum of autoimmune pancreatitis?". Gastrointest. Endosc. 62 (1): 152–7. PMID 15990840.