A Case of Autoimmune Chronic Pancreatitis that was Rapidly Aggravated Despite Oral Steroid Maintenance Therapy.
- Author:
Jae Chul HWANG
1
;
Byung Moo YOO
;
Kyung Hyun KOH
;
Dong Hoon KIM
;
Chang Joon KANG
;
Jai Hak JEUNG
;
Byoung Joon PARK
;
Jin Hong KIM
Author Information
1. Department of Internal Medicine, Ajou University School of Medicine, Suwon, Korea. ybm6403@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Autoimmune pancreatitis;
Steroid
- MeSH:
Follow-Up Studies;
Humans;
Immunoglobulin G;
Jaundice;
Middle Aged;
Pancreatitis, Chronic
- From:Korean Journal of Gastrointestinal Endoscopy
2008;37(1):65-70
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In a case of autoimmune chronic pancreatitis that relapsed despite maintenance therapy with low-dose steroid, high- dose steroid can induce remission of the disease, and maintenance therapy of steroid is usually recommended in that case. A 57-year-old man developed epigastric pain and jaundice. The patient was diagnosed with autoimmune chronic pancreatitis. The abnormalities in the clinical, laboratory and radiologic findings improved after oral steroid therapy. After two relapsed episodes, maintenance therapy of steroid with 5 mg prednisolone/day was administrated. In the studies for follow up, the level of serum IgG was increased and abdominal computed tomography showed calcification and pseudocyst in the pancreatic tail. To our knowledge, this is a rare case of autoimmune chronic pancreatitis aggravated rapidly despite oral steroid maintenance therapy.
