中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

自身免疫性胰腺炎复发合并带状疱疹1例报告

冯丽娜 张晓雪 蒉乙文 杨倩倩 陈庆灵 温晓玉 金清龙

引用本文:
Citation:

自身免疫性胰腺炎复发合并带状疱疹1例报告

DOI: 10.3969/j.issn.1001-5256.2019.09.039
详细信息
  • 中图分类号: R576;R752.12

Recurrence of autoimmune pancreatitis with herpes zoster: A case report

  • 摘要: <正>1病例资料患者男性,62岁,因"间断面黄、目黄7个月"于2018年9月5日入本院。患者入院前7个月无明显诱因出现皮肤黄染,伴间断上腹部胀痛,就诊于吉林大学中日联谊医院,肝功能:AST 46. 75 U/L,ALT 127. 92 U/L,TBil 77. 12μmol/L,DBil34μmol/L,IBil 43. 12μmol/L; IgG4 15. 2 g/L;腹部超声提示:

     

  • [1] YOSHIDA K, TOKI F, TAKEUCHI T, et al. Chronic pancreatitis caused by an autoimmune abnormality. Proposal of the concept of autoimmune pancreatitis[J]. Dig Dis Sci, 1995, 40 (7) :1561-1568.
    [2] de PRETIS N, AMODIO A, FRULLONI L. Updates in the field of autoimmune pancreatitis:A clinical guide[J]. Expert Rev Gastroenterol Hepatol, 2018, 12 (7) :705-709.
    [3] LEE HW, MOON SH, KIM MH, et al. Relapse rate and predictors of relapse in a large single center cohort of type 1 autoimmune pancreatitis:Long-term follow-up results after steroid therapy with short-duration maintenance treatment[J]. J Gastroenterol, 2018, 53 (8) :967-977.
    [4] MASAMUNE A, NISHIMORI I, KIKUTA K, et al. Randomised controlled trial of long-term maintenance corticosteroid therapy in patients with autoimmune pancreatitis[J]. Gut, 2017, 66 (3) :487-494.
    [5] KUBOTA K, KAMISAWA T, OKAZAKI K, et al. Low-dose maintenance steroid treatment could reduce the relapse rate in patients with type 1 autoimmune pancreatitis:A long-term Japanese multicenter analysis of 510 patients[J]. J Gastroenterol, 2017, 52 (8) :955-964.
    [6] MA J, LIU YL. Corticosteroid therapy for autoimmune pancreatitis[J]. J Clin Hepatol, 2018, 34 (8) :1599-1603. (in Chinese) 马娟, 刘玉兰.自身免疫性胰腺炎的激素治疗[J].临床肝胆病杂志, 2018, 34 (8) :1599-1603.
    [7] van TOORENENBERGEN AW, van HEERDE MJ, van BUUREN HR. Potential value of serum total IgE for differentiation between autoimmune pancreatitis and pancreatic cancer[J].Scand J Immunol, 2010, 72 (5) :444-448.
    [8] CULVER EL, SADLER R, BATEMAN AC, et al. Increases in IgE, eosinophils, and mast cells can be used in diagnosis and to predict relapse of IgG4-related disease[J]. Clin Gastroenterol Hepatol, 2017, 15 (9) :1444-1452.
    [9] KURUMA S, KAMISAWA T, TABATA T, et al. Allergen-specific IgE antibody serologic assays in patients with autoimmune pancreatitis[J]. Intern Med, 2014, 53 (6) :541-543.
    [10] SAH RP, PANNALA R, ZHANG L, et al. Eosinophilia and allergic disorders in autoimmune pancreatitis[J]. Am J Gastroenterol, 2010, 105 (11) :2485-2491.
    [11] ZHANG L, GUO L, HUANG Y, et al. Allergic diseases, immunoglobulin E, and autoimmune pancreatitis:A retrospective study of 22 patients[J]. Chin Med J (Engl) , 2014, 127 (23) :4104-4109.
    [12] KAMISAWA T, ANJIKI H, EGAWA N, et al. Allergic manifestations in autoimmune pancreatitis[J]. Eur J Gastroenterol Hepatol, 2009, 21 (10) :1136-1139.
    [13] SMITH-NOROWITZ TA, JOSEKUTTY J, LEV-TOV H, et al.IgE anti-varicella zoster virus and other immune responses before, during, and after shingles[J]. Ann Clin Lab Sci, 2009, 39 (1) :43-50.
    [14] ZEN Y, FUJII T, HARADA K, et al. Th2 and regulatory immune reactions are increased in immunoglobin G4-related sclerosing pancreatitis and cholangitis[J]. Hepatology, 2007, 45 (6) :1538-1546.
    [15] ZHANG MF, YANG L, MA XL, et al. Detection of T-lymphocyte subsets and correlated cytokines in herpes zoster[J].Chin J Dermato Venerol Integ Trad W Med, 2009, 8 (3) :133-135. (in Chinese) 张美芳, 杨励, 马学良, 等.带状疱疹患者T细胞亚群及相关细胞因子的检测[J].中国中西医结合皮肤性病学杂志, 2009, 8 (3) :133-135.
    [16] LI YL, ZHANG M, ZHANG B. An overview of the research on immunologic mechanism and treatment of herpes zoster[J]. J Guangxi Univ Chin Med, 2017, 20 (3) :59-62. (in Chinese) 李艳玲, 张敏, 张蓓.带状疱疹免疫机制及治疗的研究概况[J].广西中医药大学学报, 2017, 20 (3) :59-62.
    [17] ZHOU HT, WANG GK, WANG HB, et al. Diagnostic thinking of diffuse pancreatic diseases:Autoimmune pancreatitis[J].Diagn Imag Interv Radiol, 2017, 26 (5) :426-429. (in Chinese) 周海婷, 王国坤, 王海波, 等.胰腺弥漫性病变的诊断思维:自身免疫性胰腺炎[J].影像诊断与介入放射学, 2017, 26 (5) :426-429.
    [18] ORLICKA K, BARNES E, CULVER EL. Prevention of infection caused by immunosuppressive drugs in gastroenterology[J].Ther Adv Chronic Dis, 2013, 4 (4) :167-185.
  • 加载中
计量
  • 文章访问数:  1192
  • HTML全文浏览量:  14
  • PDF下载量:  265
  • 被引次数: 0
出版历程
  • 出版日期:  2019-09-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回