Clinical diagnostic criteria of autoimmune pancreatitis: revised proposal

Okazaki, Kazuichi; Kawa, Shigeyuki; Kamisawa, Terumi; Naruse, Satoru; Tanaka, Shigeki; Nishimori, Isao; Ohara, Hirotaka; Ito, Tetsuhide; Kiriyama, Seiki; Inui, Kazuro; Shimosegawa, Tooru; Koizumi, Masaru; Suda, Koichi; Shiratori, Keiko; Yamaguchi, Koji; Yamaguchi, Taketo; Sugiyama, Masanori; Ōtsuki, Makoto

doi:10.1007/s00535-006-1868-0

Cited by 542 publications

(448 citation statements)

References 18 publications

Supporting

Mentioning

422

Contrasting

Unclassified

Order By: Relevance

“…Characteristic findings on the pancreatic imaging studies and a remarkably increased level of serum IgG4 fulfilled the diagnostic criteria for AIP proposed by a Japanese group (14) and a group at the Mayo Clinic (15). Accordingly, we started to treat the patient with 40 mg/day of oral prednisolone (PSL) and then tapered this dose by 5 mg every two weeks.…”

Section: F] Fluorodeoxyglucose (Fdg-pet) Revealed Significant Uptake mentioning

confidence: 87%

IgG4-related Autoimmune Prostatitis: Two Cases with or without Autoimmune Pancreatitis

et al. 2007

Self Cite

View full text Add to dashboard Cite

show abstract

Section: F] Fluorodeoxyglucose (Fdg-pet) Revealed Significant Uptake mentioning

confidence: 87%

IgG4-related Autoimmune Prostatitis: Two Cases with or without Autoimmune Pancreatitis

et al. 2007

Self Cite

View full text Add to dashboard Cite

show abstract

“…First, patients with high serum glucose levels showed high false-negative results because of decreased FDG-uptake by tumors. 26 Second, an acute exacerbation of chronic pancreatitis may lead to an incorrect result of static FDG-PET imaging, as acute pancreatitis clearly showed an increased SUV with ranges similar to those for pancreatic cancer 2 . Third, FDG-PET may be falsely positive if CRP is elevated 28 .…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis was based on the diagnostic criteria for autoimmune pancreatitis proposed by the Japanese Pancreas Society and the revised proposal 25,26 . …”

Section: Study Subjectsmentioning

confidence: 99%

Differentiation of autoimmune pancreatitis from suspected pancreatic cancer by fluorine-18 fluorodeoxyglucose positron emission tomography

et al. 2008

Self Cite

View full text Add to dashboard Cite

Purposes: Fluorine-18 fluorodeoxyglucose positron emission tomography (FDG-PET) has been widely used for the diagnosis of pancreatic cancer. Because autoimmune pancreatitis is easily misdiagnosed as pancreatic cancer and can be tested for by FDG-PET analysis based on the presence of suspected pancreatic cancer, we attempted to clarify the differences in FDG-PET findings between the two conditions. Methods: We compared the FDG-PET findings between 15 patients with autoimmune pancreatitis and 26 patients with pancreatic cancer. The findings were evaluated visually or semiquantitatively using the maximum standardized uptake value and the accumulation pattern of FDG. Results: FDG uptake was found in all 15 patients with autoimmune pancreatitis, whereas it was found in 19 of 26 patients (73.1%) with pancreatic cancer. The accumulation pattern of nodular shape was frequently seen in pancreatic cancer with significance, whereas a longitudinal shape indicated the existence of autoimmune pancreatitis. Heterogeneous accumulation was found in almost all cases of autoimmune pancreatitis, whereas homogeneous accumulation was found in pancreatic cancer. Most cases of pancreatic cancer showed solitary localization with significant difference, whereas multiple localizations in the pancreas favored the existence of autoimmune pancreatitis. FDG uptakes in the hilar lymph node were more frequently seen in autoimmune pancreatitis than in pancreatic cancer with significance, and those in the lachrymal gland, salivary gland, biliary duct, retroperitoneal space, and prostate were only seen in autoimmune pancreatitis. Conclusions: FDG-PET provides a useful tool for differentiating autoimmune pancreatitis from suspected pancreatic cancer, if its accumulation pattern and extra-pancreatic involvements are considered. IgG4 measurement and other current image tests will confirm further diagnosis.

show abstract

“…The Japan Pancreas Society has proposed "Diagnostic Criteria for Autoimmune Pancreatitis, 2002" (4, 5) however, the precision of the diagnostic criteria is low because emphasis is placed on the absence of pancreatic cancer and the value of serum IgG4 is not considered. Therefore, the diagnostic criteria of AIP were revised in 2006 as follows (6) (Fig. 1-a) (Fig.…”

Section: An Unusual Form Of Pancreatitis Called Primary Inflammatory mentioning

confidence: 99%

Successful Treatment of Autoimmune Pancreatitis Complicated with Autoimmune Thrombocytopenia and Interstitial Pneumonia by Prednisolone

et al. 2008

View full text Add to dashboard Cite

show abstract

Clinical diagnostic criteria of autoimmune pancreatitis: revised proposal

Cited by 542 publications

References 18 publications

IgG4-related Autoimmune Prostatitis: Two Cases with or without Autoimmune Pancreatitis

IgG4-related Autoimmune Prostatitis: Two Cases with or without Autoimmune Pancreatitis

Differentiation of autoimmune pancreatitis from suspected pancreatic cancer by fluorine-18 fluorodeoxyglucose positron emission tomography

Successful Treatment of Autoimmune Pancreatitis Complicated with Autoimmune Thrombocytopenia and Interstitial Pneumonia by Prednisolone

Contact Info

Product

Resources

About