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Revista de Gastroenterología del Perú

Print version ISSN 1022-5129


ALFEREZ ANDIA, Jéssica; BENITES GONI, Harold  and  CHACALTANA MENDOZA, Alfonso. Type 1 autoimmune pancreatitis: a case report. Rev. gastroenterol. Perú [online]. 2019, vol.39, n.3, pp.299-301. ISSN 1022-5129.

Autoimmune pancreatitis (PAI) is a rare pathology and an entity to consider in the differential diagnosis of obstructive jaundice and pancreatic mass. It is a chronic inflammatory disease of the pancreas with established clinical, radiological, serological and histopathological characteristics. The treatment is based on the use of corticosteroids and usually has a good response, with complete resolution of clinical, analytical and radiological parameters. We present the case of a 62-year-old woman with abdominal pain in the right hypochondrium and epigastrium associated with low weight. Normal laboratory tests. Abdominal TEM: pancreas increased in volume diffusely with peripancreatic halo. EUS: extensive heterogeneous lesion involving the head and body, FNA is performed. AP: lympho-plasmocitary infiltrate. IgG4: 520 mg / dL. It is determined that it is a probable type I autoimmune pancreatitis and it is decided to perform a therapeutic trial with corticosteroids. Tomographic control is performed at 4 weeks with adequate response.

Keywords : Pancreatitis; Autoimmune diseases; Inmunoglobulin G.

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