Autoimmune form of chronic pancreatitis and IgG4 positive mastitis

Česká verzia

Authors: Petr Dítě ¹ ; I. Novotný ²; Z. Kinkor ³; M. Hermanová ⁴; J. Trna ¹; J. Lata ⁵; M. Růžička ⁶; Marie Přecechtělová ¹; Bohuslav Kianička ⁷
Authors place of work: Interní gastroenterologická klinika, FN Brno ¹; Gastroenterologické oddělení, Masarykův onkologický ústav, Brno ²; Bioptická laboratoř s. r. o. a Šiklův ústav patologie, FN a LF UK, Plzeň ³; I. patologicko-anatomický ústav FN a LF MU, Brno ⁴; Lékařská fakulta FN Ostrava ⁵; Sheikh Khalifa Med. City – Cleveland Clinic, Abu Dhabi ⁶; II. interní klinika FN u sv. Anny, Brno ⁷
Published in the journal: Gastroent Hepatol 2011; 65(1): 22-25
Category: Clinical and Experimental Gastroenterology: Case Report

Summary

The autoimmune form of pancreatitis (AIP) is frequently linked to the simultaneous impairment of other bodily organs. This applies particularly to the 1st subtype of the AIP form of lymphoplasmatic sclerosing pancreatitis (LPSP). This type of autoimmune pancreatitis is accompanied by concurrent sclerosing cholangitis, sialadenitis, retroperitoneal fibrosis, sicca syndrome and other ultrapancreatic lesions. A typical symptom is a high level of IgG4 immunoglobulin in blood serum and tissues. In our report, and for the first time in specialist literature, we describe the current findings of AIP (according to Asian criteria) and IgG4 positive mastitis, histologically verified in a patient with previously diagnosed Mikulicz syndrome. The effects of corticoid therapy supported the diagnosis of AIP and simultaneously led to the eradication of recurrent mastitis. Our findings confirm the fact that we are currently increasingly confronted with a group of multi-system autoimmune diseases, including autoimmune pancreatitis and its extrapancreatic symptoms. Timely diagnosis and the correct therapy can be effective against a high percentage of cases.

Key words:
autoimmune pancreatitis – immunoglobulin G4 – mastitis

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