Update on Autoimmune Pancreatitis and IgG4-Related Disease.

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Tác giả: Emanuel Della Torre, Marco Lanzillotta, Johannes-Matthias Löhr, Miroslav Vujasinovic

Ngôn ngữ: eng

Ký hiệu phân loại: 355.007 Education and related topics

Thông tin xuất bản: England : United European gastroenterology journal , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 678062

 Autoimmune pancreatitis is an increasingly recognized inflammatory type of subacute pancreatitis
  two subtypes of autoimmune pancreatitis have been identified so far: the "lymphoplasmacytic" type 1 variant and the "neutrophilic" type 2 variant. Type 1 autoimmune pancreatitis represents the most common manifestation of IgG4-related disease, a fibro-inflammatory disorder characterized by elevated IgG4 levels in the serum and affected tissues. Type 2 autoimmune pancreatitis is a pancreas-specific disorder that frequently occurs in the context of inflammatory bowel diseases. Due to the complexity of both diseases, a comprehensive work up with imaging, laboratory, and histological studies is required to achieve a diagnosis and rule out malignancies. Glucocorticoids represent the cornerstone of the treatment, often supported by other immunosuppressive drugs in case of steroid intolerance or aggressive disease. Maintenance treatment is often employed in type 1 autoimmune pancreatitis because of the higher relapse rate compared with type 2 autoimmune pancreatitis. In this review, we summarize the key concept of autoimmune pancreatitis, delve into the differential diagnosis between the two subtypes, and cover the recent relevant research findings and pressing unmet needs.
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