Korean J Med > Volume 75(3); 2008 > Article
The Korean Journal of Medicine 2008;75(3):792-797.
A case of autoimmune pancreatitis
Sung Hwan Kang, Hae Kyung Kim, Dae Han Choi, Yoon Serk Lee, Tae Hyun Kim, Tae Il Park, Su Jung Jung
증례 : 자가면역성 췌장염 1예
강성환.김해경.최대한.이윤석.김태현.박태일.정수정 , Hae Kyung Kim, Dae Han Choi, Yoon Serk Lee, Tae Hyun Kim, Tae Il Park, Su Jung Jung
Abstract
Autoimmune pancreatitis is a specific form of chronic pancreatitis in which the pancreatic fibrosis is reversible after steroid therapy. The identification of CD 4, CD 8 T-lymphocytes in the pancreatic tissue suggests that aberrant autoreactivity has a role in its pathogenesis. Here, we report a case of autoimmune pancreatitis that showed rapid clinical and radiological improvement but required a long-term oral hypoglycemic agent for diabetes control, despite early steroid treatment. With respect to the negative influence of steroids on glucose control, the administration of azathioprine as a corticosteroid-sparing agent can be considered as alternative maintenance therapy. (Korean J Med 75:S792-S797, 2008)
Key Words: Autoimmune pancreatitis; Steroid


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