Review : Recent Advances in the Diagnosis and Management of Autoimmune Pancreatitis: Similarities and Differences in Japan and Korea
분야
의약학 > 내과학
저자
( Terumi Kamisawa ) , ( Ji Kon Ryu ) , ( Myung Hwan Kim ) , ( Kazuichi Okazaki ) , ( Tooru Shimosegawa ) , ( Jae Bock Chung )
발행기관
대한간학회
간행물정보
Gut and Liver 2013년, 제7권 제4호, 394~400페이지(총7페이지)
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27405916.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Two subtypes (types 1 and 2) of autoimmune pancreatitis (AIP) are currently recognized. Type 1 AIP is related to immu¬noglobulin G4 (lymphoplasmacytic sclerosing pancreatitis), and type 2 AIP is characterized by neutrophilic infiltration into the epithelium of the pancreatic duct (idiopathic duct-centric pancreatitis). Although type 2 AIP is sometimes observed in the United States and Europe, most cases of AIP in Japan and Korea are type 1. The international consensus diagnos¬tic criteria for AIP were created to be applicable worldwide and to distinguish between the two types of AIP. AIP is diag¬nosed based on the presence of at least one of the five cardi¬nal features (i.e., imaging, serology, other organ involvement, histology, and response to steroid therapy). Oral steroids are the standard therapy for AIP, but immunomodulatory drugs or rituximab have been successfully used for patients with relapsed AIP in the United States and Europe. Generally, the clinical manifestations and demography of AIP are similar between Japan and Korea. However, there are differences in some aspects of the disease, including the proportion of other organ involvement, the prevalence of type 2 AIP, diag¬nostic criteria and maintenance therapy between the two countries.
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