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Korean J Med > Volume 86(6); 2014 > Article
The Korean Journal of Medicine 2014;86(6): 733-738.
달리 분류되지 않는 자가면역성 췌장염에 동반한 심낭삼출액
장형하, 강대환, 김형욱, 최철웅, 박수범, 송병준, 김수진
부산대학교 의과대학 양산부산대학교병원 내과
Autoimmune Pancreatitis, Not Otherwise Specified, Accompanied by Pericardial Effusion
Hyung Ha Jang, Dae Hwan Kang, Hyung Wook Kim, Choel Woong Choi, Soo Bum Park, Byung Jun Song, Su Jin Kim
Department of Internal Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea
Corresponding Author: Dae Hwan Kang ,Tel: +82-51-360-1535, Fax: +82-51-360-1536, Email: sulsulpul@naver.com
Received: September 17, 2013;   Revised: October 23, 2013;   Accepted: December 6, 2013.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Autoimmune pancreatitis (AIP) is a form of chronic pancreatitis characterized by an autoimmune inflammatory process. This is the first case report of AIP, not otherwise specified, accompanied by pericardial effusion. A 52-year-old female visited our hospital due to dyspnea. Echocardiography showed a large amount of pericardial thickening. Abdominal computed tomography revealed diffuse enlargement of the pancreas body and tail with a sausage-shaped appearance, surrounded by a thick hypodense rim. Endoscopic retrograde cholangiopancreatography could not identify the tail portion of the pancreas, despite forceful contrast injection. Serology was positive for antinuclear antibody and IgG4 was normal. Endoscopic ultrasound-guided core biopsy of the pancreas was performed. Histologic examination revealed a fibrous connective tissue with inflammatory infiltration. The patient was treated with steroids. In the follow-up images, abnormal findings of pericardial effusion were improved, although an irregular long stricture of the pancreas tail portion remained. (Korean J Med 2014;86:733-738)
Keywords: Pancreatitis; Pericardial effusion
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Autoimmune Pancreatitis Accompanied by Tubulointerstitial Nephritis  2012 December;83(6)
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