A Case of Autoimmune Pancreatitis Showing Narrowing of the Main Pancreatic Duct after Cessation of Steroid Therapy in the Clinical Course
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- Shimizu Shuya
- Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
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- Naitoh Itaru
- Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
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- Nakazawa Takahiro
- Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
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- Hayashi Kazuki
- Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
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- Okumura Fumihiro
- Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
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- Miyabe Katsuyuki
- Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
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- Kondo Hiromu
- Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
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- Yoshida Michihiro
- Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
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- Yamashita Hiroaki
- Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
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- Ohara Hirotaka
- Department of Community-based Medical Education, Nagoya City University Graduate School of Medical Sciences, Japan
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- Joh Takashi
- Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
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抄録
Autoimmune pancreatitis (AIP) is characterized by irregular narrowing of the main pancreatic duct (MPD), and narrowing of the MPD is an essential criterion for the diagnosis of focal/segmental AIP according to the Japanese diagnostic criteria 2011. We report a 55-year-old man in whom magnetic resonance imaging showed two masses in the pancreatic head and tail and whose pancreatogram was normal at first. However, the two masses changed into diffuse swelling of the pancreas, and diffuse narrowing of the MPD appeared after the cessation of steroid therapy. Finally, we could diagnose this patient as having AIP according to the Japanese diagnostic criteria.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 51 (16), 2135-2140, 2012
一般社団法人 日本内科学会