Autoimmune pancreatitis: an update on classification, diagnosis, natural history and management.

Current Gastroenterology Reports
Raghuwansh P Sah, Suresh T Chari

Abstract

Autoimmune Pancreatitis (AIP) is a recently recognized chronic fibro-inflammatory disease of the pancreas. Although rare, its recognition continues to increase worldwide. Patients often present with painless obstructive jaundice mimicking pancreatic cancer. Two subtypes of AIP are known-type 1 is a multi-organ disease associated with IgG4; type 2 appears to be a pancreas-specific disorder. Dramatic response to steroid treatment is characteristic of both forms. A non-invasive diagnosis of type 1 AIP may be possible using diagnostic criteria (in ~70% cases) while diagnosis of type 2 requires histology. These subtypes differ in natural history- type 1 often relapses while initial reports suggest that type 2 does not. Long term complications include endocrine and exocrine insufficiency and in case of type 1, disease relapses and complications from extra-pancreatic involvement. Neither form affects long term survival. The treatment and follow-up guidelines continue to evolve with our increasing experience in AIP.

References

Oct 12, 1995·The New England Journal of Medicine·P J JohnsonR Williams
Mar 10, 2001·The New England Journal of Medicine·H HamanoK Kiyosawa
Jun 27, 2003·The New England Journal of Medicine·Elizabeth N PearceLewis E Braverman
Jun 27, 2003·Pancreas·Randall K PearsonGiorgio Cavallini
Jul 29, 2003·The American Journal of Surgical Pathology·Kenji NotoharaThomas C Smyrk
Jul 1, 1961·The American Journal of Digestive Diseases·H SARLESC GUIEN
Jan 31, 1964·Mycopathologia et mycologia applicata·H B LAL, L N MOHAPATRA
Jul 15, 2004·The American Journal of Surgical Pathology·Terumi KamisawaYukiko Hayashi
Aug 17, 2004·The American Journal of Gastroenterology·Kyu-Pyo KimSung Koo Lee
Nov 2, 2004·Virchows Archiv : an International Journal of Pathology·Giuseppe ZamboniGünter Klöppel
Jan 18, 2006·Internal Medicine Journal·K HiranoM Omata
Apr 22, 2006·Pancreas·Isao NishimoriUNKNOWN Research Committee on Intractable Pancreatic Diseases, the Ministry of Health and Welfare of Japan
May 17, 2006·Internal Medicine·Takayoshi NishinoKeiko Shiratori
Jul 18, 2006·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Suresh T ChariMichael B Farnell
Jul 27, 2006·Pancreas·Hiromu InoueYukio Yoshida
Aug 16, 2006·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Lucas RudmikElijah Dixon
Sep 19, 2006·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·Lizhi ZhangThomas C Smyrk
Oct 26, 2006·The American Journal of Surgical Pathology·Simon J W WatsonChristopher O S Bellamy
Feb 9, 2007·Journal of Gastroenterology·Hideaki HamanoShigeyuki Kawa
May 24, 2007·Journal of Gastroenterology·Terumi Kamisawa, Atsutake Okamoto
Jun 27, 2007·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Michael J Levy
Jul 20, 2007·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Takeji UmemuraKendo Kiyosawa
Sep 27, 2007·The American Journal of Gastroenterology·Nicholas I ChurchGeorge J M Webster
Sep 27, 2007·The American Journal of Surgical Pathology·Lynn D CornellRobert B Colvin
Nov 14, 2007·Gut·Amaar Ghazale, Suresh T Chari
Dec 7, 2007·Gastrointestinal Endoscopy·Kensuke KubotaAtushi Nakajima
Dec 20, 2007·Pancreas·Amaar Ghazale, Suresh Chari
Jan 18, 2008·Pathology International·Takeshi UeharaHiroyoshi Ota
Jan 19, 2008·World Journal of Gastroenterology : WJG·Yang SongDian-Jun Wang
Jan 29, 2008·Gastroenterology·Amaar GhazaleMichael B Farnell
Feb 2, 2008·Internal Medicine·Toshiro FukuiKazuichi Okazaki
Feb 5, 2008·Gastroenterology·Suresh T Chari, Joseph A Murray
Mar 11, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Mark TopazianSuresh T Chari
Jun 3, 2008·Gastrointestinal Endoscopy·Terumi KamisawaAtsutake Okamoto
Jul 5, 2008·Journal of Gastroenterology·Makoto OtsukiUNKNOWN Research Committee of Intractable Pancreatic Diseases provided by the Ministry of Health, Labour and Welfare of Japan and th
Jul 9, 2008·World Journal of Gastroenterology : WJG·Terumi Kamisawa, Atsutake Okamoto

❮ Previous
Next ❯

Citations

Mar 6, 2013·Zeitschrift für Rheumatologie·J Loock, B Manger
Apr 25, 2014·Gastroenterology Report·Gyanprakash A Ketwaroo, Sunil Sheth
Mar 22, 2014·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Naoko YanagisawaJunji Yagi
Apr 25, 2014·AJR. American Journal of Roentgenology·Ashish KhandelwalSrinivasa R Prasad
Mar 6, 2016·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Antonio López-SerranoUNKNOWN Members of the Autoimmune Pancreatitis in Spain Study Group
Apr 30, 2013·Clinical Radiology·A Khandelwal, S S Saboo
Apr 30, 2013·Gastroenterology·Christopher E Forsmark
Feb 26, 2013·Gastrointestinal Endoscopy·Larissa L FujiiMichael J Levy
Nov 27, 2015·Disease-a-month : DM·Avik Sarkar, Capecomorin S Pitchumoni
Mar 24, 2015·Gastroenterología y hepatología·Carla Senosiain Lalastra, José Ramón Foruny Olcina
Apr 25, 2016·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Yan BiSuresh T Chari
Apr 2, 2013·Clinics in Liver Disease·Marina G Silveira
May 20, 2014·The American Journal of Medicine·Brian MorseShivakumar Vignesh
Jun 20, 2013·Case Reports in Surgery·Manju D ChandrasegaramMark E Brooke-Smith
Dec 6, 2014·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Lei XinZhao-Shen Li
Nov 2, 2014·United European Gastroenterology Journal·Georg BeyerJulia Mayerle
Jan 16, 2014·Journal of Computer Assisted Tomography·Atif ZaheerElliot K Fishman
Mar 27, 2013·BMB Reports·Ainhoa Mielgo, Michael C Schmid
Feb 1, 2013·Expert Review of Gastroenterology & Hepatology·James H Tabibian, Keith D Lindor
Sep 17, 2013·The Gastroenterology Report·Gyanprakash A Ketwaroo, Sunil Sheth
Nov 12, 2014·World Journal of Gastroenterology : WJG·Leslie K Lee, Dushyant V Sahani
Sep 15, 2017·International Journal of Surgical Pathology·Kyle GearyGrace Guzman
Jul 3, 2018·Journal of Clinical Imaging Science·Joseph H MullineuxJames A Stephenson
Mar 12, 2015·Deutsches Ärzteblatt International·Alexander KlegerJulia Mayerle
Oct 26, 2016·Journal of Clinical Gastroenterology·Adrianne TsenLaura Rosenkranz
Jan 26, 2021·Journal of Translational Autoimmunity·Annarosa FloreaniM Eric Gershwin
Jul 20, 2021·Autoimmunity Reviews·Ammar QureshiKam A Newman
Sep 4, 2021·Journal of Medical Ultrasonics·Shinji Okaniwa
May 28, 2019·Case Reports in Gastroenterology·Felix HesseVeit Phillip
May 28, 2019·Case Reports in Gastroenterology·Diana OlloPhilippe Bichard

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Polyendocrine Syndromes

This feed focuses on a rare genetic condition called Autoimmune Polyendocrine Syndromes, which are characterized by autoantibodies against multiple endocrine organs. This can lead to Type I Diabetes.

Autoimmune Diseases

Autoimmune diseases occur as a result of an attack by the immune system on the body’s own tissues resulting in damage and dysfunction. There are different types of autoimmune diseases, in which there is a complex and unknown interaction between genetics and the environment. Discover the latest research on autoimmune diseases here.

Related Papers

Science China. Life Sciences
Qian WangFengchun Zhang
Journal of Gastroenterology
Terumi KamisawaResearch Committee for Intractable Pancreatic Disease and Japan Pancreas Society
Current Gastroenterology Reports
Amaar GhazaleSanthi S Vege
© 2022 Meta ULC. All rights reserved