The Coexistence of Autoimmune Pancreatitis and Crohn’s Disease in an Adolescent Case
| Autor: | Guzide Dogan, Ozlem Akgun, Esen Gul Uzuner, Sule Poturoglu, Sevim Ozdemir |
|---|---|
| Přispěvatelé: | DOĞAN, GÜZİDE |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Crohn’s disease
medicine.medical_specialty Abdominal pain Case Report Inflammatory bowel disease Gastroenterology children inflammatory bowel disease Internal medicine medicine Outpatient clinic Otoimmun pankreatit Autoimmune pancreatitis Pancreatic duct Crohn's disease Crohn hastalığı business.industry General Medicine medicine.disease medicine.anatomical_structure çocuklar Pancreatitis medicine.symptom Calprotectin business inflamatuvar bağırsak hastalığı |
| Zdroj: | Medeniyet Medical Journal |
| ISSN: | 2149-4606 2149-2042 |
| Popis: | Although autoimmune pancreatitis is not seen in children frequently, it is included in the etiology of chronic pancreatitis. A 16-year-old girl who was diagnosed with chronic pancreatitis 4 months previously, presented to the outpatient clinic with abdominal pain on the epigastric region, and left lower abdominal quadrant and bloody defecation. Remarkable laboratory test results were as follows: amylase: 109 U/L, lipase: 196 U/L, Ig G:13.70 g/L, IgG4:2.117 g/L, fecal calprotectin 573 μg/g. In the MRCP examination, revealed enlarged pancreas with a heterogeneous appearance, dilated main pancreatic duct. Colonoscopic and histopathological findings were consistent with inflammatory bowel disease. The case was diagnosed as Crohn’s disease coursing with autoimmune pancreatitis. Clinical and laboratory findings regressed after steroid treatment. Autoimmune pancreatitis is important in that it is rarely seen in children and though less frequently it is associated with Crohn’s disease. It should be kept in mind that inflammatory bowel disease may develop in the follow-up of autoimmune pancreatitis and autoimmune pancreatitis may be present in the etiology of chronic pancreatitis. |
| Databáze: | OpenAIRE |
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