Author/Authors :
Salari Masoumeh نويسنده , Farzanehfar Mohammad Reza نويسنده Ghaem Hospital - Mashhad University of Medical Sciences , Hosseini Mousareza نويسنده Department of Gasteroenterology and Hepatology - Ghaem Hospital - Mashhad University of Medicine Sciences , Nekooei Sirous نويسنده Department of Radiology - Ghaem Hospital - Mashhad University of Medicine Sciences , Ataei Azimi Sajad نويسنده Department of Internal Medicine - School of Medicine - Mashhad University of Medicine Sciences
Abstract :
Autoimmune pancreatitis is a firo-inflmmatory form of chronic pancreatitis. It is diagnosed by the combination of imaging studies such as a CT scan and pancreatography, laboratory analyses that include IgG4 and/or autoantibodies, histopathological evaluations and positive response to corticosteroid therapy. We report the case of a 41-year-old female with a history of jaundice and increasing abdominal pain for two weeks prior to her clinic visit. Laboratory results were signifiant for an increase in alkaline phosphatase (ALP) and erythrocyte sedimentation rate (ESR). Magnetic resonance cholangiopancreatography (MRCP) confimed areas of stenosis and dilatation in the pancreatic duct and in the intra- and extra-hepatic bile ducts similar to primary sclerosant cholangitis. Laboratory analyses showed increased levels of IgG4 with the presence of antinuclear antibodies.
