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Autoimmune pancreatitis in an 11-year-old boy

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Abstract

We report a case of histopathologically proven autoimmune pancreatitis in an 11-year-old boy. Abdominal US and MRI showed a focal swelling of the pancreatic head, the latter also showing delayed contrast enhancement. There was diffuse irregular pancreatic duct narrowing, compression of the intrapancreatic common bile duct, and mild proximal biliary dilatation on MR cholangiopancreatography. Laboratory results revealed normal serum IgG and subclass 4 with negative autoimmune antibodies, and slightly elevated carbohydrate antigen 19-9. This highlights the differentiation of autoimmune pancreatitis from pancreatic head cancer and, to a lesser extent, other forms of pancreatitis in children.

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References

  1. Kim KP, Kim MH, Song MH et al (2004) Autoimmune chronic pancreatitis. Am J Gastroenterol 99:1605–1616

    Article  PubMed  Google Scholar 

  2. Finkelberg DL, Sahani D, Deshpande V et al (2006) Autoimmune pancreatitis. N Engl J Med 355:2670–2676

    Article  PubMed  CAS  Google Scholar 

  3. Toomey DP, Swan N, Torreggiani W et al (2007) Autoimmune pancreatitis: medical and surgical management. JOP 8:335–343

    PubMed  Google Scholar 

  4. Pietzak MM, Thomas DW (2000) Pancreatitis in childhood. Pediatr Rev 21:406–412

    PubMed  CAS  Google Scholar 

  5. Vaughn DD, Jabra AA, Fishman EK (1998) Pancreatic disease in children and young adults: evaluation with CT. Radiographics 18:1171–1187

    PubMed  CAS  Google Scholar 

  6. Yoshida K, Toki F, Takeuchi T (1995) Chronic pancreatitis caused by an autoimmune abnormality. Proposal of the concept of autoimmune pancreatitis. Dig Dis Sci 40:1561–1568

    Article  PubMed  CAS  Google Scholar 

  7. Zandieh I, Byrne MF (2007) Autoimmune pancreatitis: a review. World J Gastroenterol 13:6327–6332

    Article  PubMed  Google Scholar 

  8. Miller FH, Rini NJ, Keppke AL (2006) MRI of adenocarcinoma of the pancreas. AJR 187:W365–W374

    Article  PubMed  Google Scholar 

Download references

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Correspondence to Rania Refaat.

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Refaat, R., Harth, M., Proschek, P. et al. Autoimmune pancreatitis in an 11-year-old boy. Pediatr Radiol 39, 389–392 (2009). https://doi.org/10.1007/s00247-008-1132-2

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  • DOI: https://doi.org/10.1007/s00247-008-1132-2

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