Küttner’s Tumor and Autoimmune Pancreatitis as Metachronous Manifestations of IgG4-Related Disease

Autor: Lefika Bathobakae MD, MPH, Rammy Bashir MD, MSc, Heba Farhan BS, Aneeqa Shahid MD, Katrina Villegas MD, Gabriel Melki MD, Kamal Amer MD, Yana Cavanagh MD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Investigative Medicine High Impact Case Reports, Vol 12 (2024)
Druh dokumentu: article
ISSN: 2324-7096
23247096
DOI: 10.1177/23247096241286368
Popis: Immunoglobulin G4-related disease (IgG4-RD) is a multiorgan, fibro-inflammatory condition that presents with painless organ swelling, lymphoplasmacytic infiltration, and obliterative phlebitis, often showing a favorable response to corticosteroid therapy. The most affected organs include the pancreas, kidneys, retroperitoneum, lacrimal glands, and salivary glands. Diagnosis relies on serological, imaging, and histopathological findings, with glucocorticoids as the primary treatment. Despite its reversible nature and good prognosis in many cases, long-term complications such as organ dysfunction or malignancy can still occur. International collaborative efforts have enhanced the understanding, diagnosis, and management of IgG4-RD, emphasizing the importance of comprehensive diagnostic criteria and appropriate therapeutic strategies. Herein, we present an interesting case of a geriatric male who was referred to our clinic because of concern for pancreatic cancer. We diagnosed the patient with autoimmune pancreatitis, a manifestation of IgG4-RD. The patient experienced a dramatic response to steroid therapy and is currently on maintenance therapy.
Databáze: Directory of Open Access Journals