Epidemiology and clinical characteristics of type 1 autoimmune pancreatitis
10.3969/j.issn.1001-6325.2017.11.021
- VernacularTitle:1型自身免疫性胰腺炎的流行病学及临床特点
- Author:
min Ya LAI
1
;
Dong WU
;
Hong YANG
;
nan Jing LI
;
Wen ZHANG
;
ming Ai YANG
;
ming Jia QIAN
Author Information
1. 中国医学科学院北京协和医学院北京协和医院 消化内科
- Keywords:
chronic pancreatitis;
autoimmune pancreatitis;
type 2 autoimmune pancreatitis;
type 1 autoimmune pancreatitis;
pancre-atic neoplasm
- From:
Basic & Clinical Medicine
2017;37(11):1607-1610
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve the diagnosis and treatment of type Ⅰ autoimmune pancreatitis, a study was carried out to summarize the epidemiological characteristics, clinical manifestations and diagnosis of autoimmune pancreatitis (AIP).Methods This study retrospectively analyzed the clinical data of all the patients diagnosed with AIP from January 1998 to December 2016 in the ward of Peking union medical college hospital.Results 194 type 1 AIP patients were enrolled in this study.The M/F ratio of the disease was 3.51/1,with an average age of 57±15 years.The most common symptom is jaundice, abdominal pain and weight loss.The most common diseases of the pancreas are sclerosing cholangitis, salivary glands, IgG4 nephropathy.There are 36.68 percent of AIP patients with diabetes mellitus.IgG4, ANA, ESR, c-reactive protein and CA199 are all contribute to disease diagnosis and follow-up.Pathology, pet-CT and hormone therapy response all contribute to the diagnosis of AIP.Conclusions As a systemic disease, the type 1 AIP has special clinical features and laboratory profiles.The diagnosis of AIP can be applied in many ways.
