| A case of autoimmune pancreatitis associated with pancreaticoliths and multiple parenchymal calcifications |
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Mi-Young Kim, Myung-Hwan Kim, Jong-Wook Kim, Eun-Young Jang, Sang Soo Lee, Dong Wan Seo, Sung Koo Lee |
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이화여자대학교 의과대학 내과학교실 |
| 증례 : 췌석과 췌장 실질의 다발성 석회화를 동반한 자가면역성 췌장염 |
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김미영, 김명환, 김정욱, 장은영, 이상수, 서동완, 이성구 |
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Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea |
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| Abstract |
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We report here on a case of autoimmune pancreatitis with pancreaticoliths and multiple parenchymal calcifications, and
these do not usually occur in patients with ordinary chronic pancreatitis. A 51-year-old woman was referred to our
hospital because of her recent onset diabetes mellitus and abnormally appearing pancreas on CT. Based on the increased
serum levels of Ig G and Ig G4, the positive rheumatoid factor and the characteristic findings on abdominal CT and
ERCP, the patient was diagnosed with autoimmune pancreatitis, and she was treated with oral corticosteroids. After
2-month administration of prednisolone, CT and ERCP demonstrated a markedly improved pancreas and narrowing of
the main pancreatic duct. After 1.5 years, the patient was readmitted because of a recurrent attack of autoimmune
pancreatitis. Abdominal CT showed formation of parenchymal calcifications and pancreaticoliths and ERCP revealed
pancreaticoliths. We suggest that autoimmune pancreatitis has a potential to be progressive, with parenchymal
calcifications and pancreaticoliths, the same as ordinary chronic pancreatitis.(Korean J Med 73:81-85, 2007)
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| Key Words:
Pancreatitis, Autoimmune, Calcification, Pancreas, Stone, Pancreas, Therapy, Steroid |
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