文章摘要
王荣欣 秦俭 胡水清 孙长怡 曹涛.自身免疫性胰腺炎的胰腺外表现[J].,2015,15(17):3360-3362
自身免疫性胰腺炎的胰腺外表现
Extraintestinal Manifestations of Autoimmune Pancreatitis
  
DOI:
中文关键词: 自身免疫性胰腺炎  胰腺外表现  IgG4 阳性浆细胞
英文关键词: Autoimmune pancreatitis  Extrapancreatic manifestations  IgG4-positive cells
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作者单位
王荣欣 秦俭 胡水清 孙长怡 曹涛 首都医科大学宣武医院1 急诊科2 消化内科 
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中文摘要:
      自身免疫性胰腺炎(autoimmune pancreatitis,AIP)是一种特殊类型的胰腺炎,其发病机制与自身免疫密切相关。2010 年公布 的诊断标准主要从血清学、影像学、组织学、胰腺外器官受累和激素治疗反应五方面将其分为1 型和2 型。近年来越来越多的资 料显示多种胰腺外表现与AIP 相关,如泪腺和唾液腺病变,硬化性胆管炎,间质性肺炎,肺门、纵膈淋巴结肿大,腹膜后纤维化,肾 小管间质性肾炎等。胰腺外病变与AIP 有相同的病理表现:器官内可见大量的IgG4 阳性浆细胞浸润,对激素治疗反应良好。本文 主要对AIP的胰腺外表现作一综述。
英文摘要:
      Autoimmune pancreatitis (AIP) is a special type of pancreatitis, and is because of autoimmune mechanism. Recently published International Consensus Diagnostic Criteria for Autoimmune Pancreatitis include Guidelines of the International Association of Pancreatology, classifying AIP into types 1 and 2, using five cardinal features of AIP, namely imaging of pancreatic parenchyma and duct, serology, other organ involvement, pancreatic histology, and an optional criterion of response to steroid therapy. Extrapancreatic presentations can include sclerosing cholangitis, retroperitoneal fibrosis, sclerosing sialadenitis, lymphadenopathy, nephritis, and interstitial pneumonia. Extrapancreatic lesions could be synchronously or metachronously diagnosed with AIP, sharing the same pathological conditions, showing also a favorable result to corticosteroid therapy and distinct differentiation between IgG4-related diseases fromthe inherent lesions of the corresponding organs. In this article we will review this area mainly based on data fromabroad.
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