Eosinophilic pancreatitis presenting as possible malignancy.

Autor:	John R; Department of Medicine, Baylor Scott and White Medical Center - Temple, Temple, Texas., Yanchak T; Division of Gastroenterology, Department of Medicine, Baylor Scott and White Medical Center - Temple, Temple, Texas., Ramirez J; Division of Gastroenterology, Department of Medicine, Baylor Scott and White Medical Center - Temple, Temple, Texas.
Jazyk:	angličtina
Zdroj:	Proceedings (Baylor University. Medical Center) [Proc (Bayl Univ Med Cent)] 2021 Apr 13; Vol. 34 (4), pp. 510-511. Date of Electronic Publication: 2021 Apr 13.
DOI:	10.1080/08998280.2021.1905137
Abstrakt:	Eosinophilic pancreatitis is a rare form of chronic pancreatitis that is often mistaken for malignancy due to nonspecific presenting symptoms and noncontributory auxiliary exams. This clinical case report highlights a unique presentation of chronic pancreatitis. A middle-aged man developed abdominal pain, and repeat imaging showed an interval increase in size of a known pancreatic lesion. A core biopsy showed benign pancreatic tissue with eosinophilic-rich inflammation; IgE levels were also elevated. The patient was started on a prednisone taper, and repeat computed tomography 3 months later showed a decreased size of the pancreatic lesion. Correct and timely diagnosis of eosinophilic pancreatitis may avoid invasive unnecessary surgical procedures and allow for earlier initiation of appropriate therapy. (Copyright © 2021 Baylor University Medical Center.)
Databáze:	MEDLINE
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