Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment
Background: Immunoglobulin G4 (IgG4)-associated diseases mostly involve the pancreatico-biliary tree and pancreatic parenchyma. This disease complex is characterized by marked response to corticosteroid therapy and response to steroids is incorporated in the diagnostic algorithm of IgG4 associated d...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2016-08-01
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| Series: | Balkan Medical Journal |
| Subjects: | |
| Online Access: | http://balkanmedicaljournal.org/text.php?lang=en&id=108 |
| _version_ | 1797905761261584384 |
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| author | İsmail Şerifoğlu İbrahim İlker Öz Yücel Üstündağ Sevil Uygun İlikhan Özlem Tokgöz |
| author_facet | İsmail Şerifoğlu İbrahim İlker Öz Yücel Üstündağ Sevil Uygun İlikhan Özlem Tokgöz |
| author_sort | İsmail Şerifoğlu |
| collection | DOAJ |
| description | Background: Immunoglobulin G4 (IgG4)-associated diseases mostly involve the pancreatico-biliary tree and pancreatic parenchyma. This disease complex is characterized by marked response to corticosteroid therapy and response to steroids is incorporated in the diagnostic algorithm of IgG4 associated diseases. However, there is much unknown about the sequences and duration of healing during the corticosteroid therapy in the literature.
Case Report: In this case report, we report a young male patient with IgG4 associated extrahepatic biliary stricture and autoimmune pancreatitis successfully treated with corticosteroids. Recovery in the laboratory and radiological radiological findings seemed to correlate well with the decrease in serum IgG4 levels in this patient. We also discussed sequences and the duration of healing in the pancreaticobiliary tree and pancreatic parenchymal manifestations in this case report.
Conclusion: There is a gap in our knowledge about the evaluation of response criteria after steroid trial with regard to the duration and sequences of healing in the pancreaticobiliary involvement in diagnosing IgG4-related biliary and pancreatic diseases |
| first_indexed | 2024-04-10T10:10:23Z |
| format | Article |
| id | doaj.art-9c9fb50da7c940978a3a68b9ff8de5ff |
| institution | Directory Open Access Journal |
| issn | 2146-3123 2146-3131 |
| language | English |
| last_indexed | 2024-04-10T10:10:23Z |
| publishDate | 2016-08-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Balkan Medical Journal |
| spelling | doaj.art-9c9fb50da7c940978a3a68b9ff8de5ff2023-02-15T16:22:12ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312016-08-0133445846110.5152/balkanmedj.2016.15420Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatmentİsmail Şerifoğlu0İbrahim İlker Öz1Yücel Üstündağ2Sevil Uygun İlikhan3Özlem Tokgöz4Department of Radiology, Bülent Ecevit University School of Medicine, Zonguldak, TurkeyDepartment of Radiology, Bülent Ecevit University School of Medicine, Zonguldak, TurkeyDepartment of Gastroenterology, Bülent Ecevit University School of Medicine, Zonguldak, TurkeyDepartment of Internal Medicine, Bülent Ecevit University School of Medicine, Zonguldak, TurkeyDepartment of Radiology, Antalya Training and Research Hospital, Antalya, TurkeyBackground: Immunoglobulin G4 (IgG4)-associated diseases mostly involve the pancreatico-biliary tree and pancreatic parenchyma. This disease complex is characterized by marked response to corticosteroid therapy and response to steroids is incorporated in the diagnostic algorithm of IgG4 associated diseases. However, there is much unknown about the sequences and duration of healing during the corticosteroid therapy in the literature. Case Report: In this case report, we report a young male patient with IgG4 associated extrahepatic biliary stricture and autoimmune pancreatitis successfully treated with corticosteroids. Recovery in the laboratory and radiological radiological findings seemed to correlate well with the decrease in serum IgG4 levels in this patient. We also discussed sequences and the duration of healing in the pancreaticobiliary tree and pancreatic parenchymal manifestations in this case report. Conclusion: There is a gap in our knowledge about the evaluation of response criteria after steroid trial with regard to the duration and sequences of healing in the pancreaticobiliary involvement in diagnosing IgG4-related biliary and pancreatic diseaseshttp://balkanmedicaljournal.org/text.php?lang=en&id=108Autoimmune pancreatitiscorticosteroidIgG4 associated diseasesIgG4imaging |
| spellingShingle | İsmail Şerifoğlu İbrahim İlker Öz Yücel Üstündağ Sevil Uygun İlikhan Özlem Tokgöz Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment Balkan Medical Journal Autoimmune pancreatitis corticosteroid IgG4 associated diseases IgG4 imaging |
| title | Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment |
| title_full | Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment |
| title_fullStr | Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment |
| title_full_unstemmed | Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment |
| title_short | Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment |
| title_sort | sequential evaluation of pancreato biliary findings in a case with igg4 associated cholangiopathy and autoimmune pancreatitis during corticosteroid treatment |
| topic | Autoimmune pancreatitis corticosteroid IgG4 associated diseases IgG4 imaging |
| url | http://balkanmedicaljournal.org/text.php?lang=en&id=108 |
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