Korean J Gastrointest Endosc > Volume 34(3); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(3): 179-183.
스테로이드 복용으로 호전된 국소 자가면역 만성 췌장염 1예
박상현·김정호·김순주·류진경·신상효·신현덕·조창래·이태윤·이상수·서동완·이성구·김명환
울산대학교 의과대학 서울아산병원 내과학교실
A Case of Focal Autoimmune Chronic Pancreatitis Improved with Oral Steroid Therapy
Sang Hyun Park, M.D., Jung Ho Kim, M.D., Soon Joo Kim, M.D., Jin Kyung Ryu, M.D., Sang Hyo Shin, M.D., Hyun Deok Shin, M.D., Chang Lae Jo, M.D., Tae Yoon Lee, M.D., Sang Soo Lee, M.D., Dong Wan Seo, M.D., Sung Koo Lee, M.D. and Myung-Hwan Kim, M.D.
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Abstract
Clinically, patients with pancreatic cancer and focal autoimmune chronic pancreatitis share many features, such as being elderly, painless jaundice, new-onset diabetes mellitus, and weight loss. Hence, it is difficult to differentiate between the two conditions. Nevertheless, it is very important to distinguish between focal autoimmune chronic pancreatitis and pancreatic cancer because they have different treatment modalities and prognoses. We encountered a case of a 72-year-old man who developed painless jaundice. The patient was diagnosed with focal autoimmune chronic pancreatitis instead of pancreatic cancer from the CT, ERCP, MRCP findings accompanying with an increased IgG4 level. The abnormalities in the clinical, laboratory, and radiological findings improved after 2 weeks of oral steroid treatment. After 3 months of oral steroid treatment, his disease showed further improvement. To our knowledge, this is a rare case of focal autoimmune chronic pancreatitis that improved with oral steroid treatment. (Korean J Gastrointest Endosc 2007;34:179⁣183)
Key Words: Focal autoimmune chronic pancreatitis, Steroid
주요어: 국소 자가면역 만성 췌장염, 스테로이드
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