Type 2 Autoimmune Pancreatitis with Crohn's Disease

Intern Med. 2018 Oct 15;57(20):2957-2962. doi: 10.2169/internalmedicine.0213-17. Epub 2018 Mar 9.

Abstract

Autoimmune pancreatitis (AIP) is a distinct subtype of pancreatitis, which is classified into type 1 and 2 based on the clinicopathological features. According to the international consensus diagnostic criteria, pancreas resection or core biopsy specimens are recommended to make an accurate histological evaluation. However, the usefulness of endoscopic ultrasonography (EUS) guided fine needle aspiration (FNA) for histological evaluation has also been reported. Furthermore, the simultaneous presentation of type 2 AIP and Crohn's disease (CD) is very rare, especially in the Asian population. Therefore, we herein report a case of type 2 AIP with CD, which was diagnosed using EUS guided FNA with a 22-gauge needle.

Keywords: Crohn's disease; autoimmune pancreatitis; endosonography; fine-needle aspiration; inflammatory bowel diseases.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Autoimmune Diseases / diagnosis*
  • Autoimmune Diseases / drug therapy
  • Autoimmune Diseases / immunology*
  • Crohn Disease / diagnosis*
  • Crohn Disease / drug therapy
  • Crohn Disease / immunology*
  • Endoscopic Ultrasound-Guided Fine Needle Aspiration*
  • Humans
  • Male
  • Pancreatitis / diagnosis*
  • Pancreatitis / drug therapy
  • Pancreatitis / immunology*
  • Steroids / therapeutic use
  • Treatment Outcome
  • Young Adult

Substances

  • Steroids