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Autoimmune (IgG4-related) Pancreatitis and Cholangitis pp 211–220Cite as

Italian Experience

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Abstract

Autoimmune pancreatitis (AIP) is now a well-defined disease of the pancreas that differs clinically, radiologically, and therapeutically from all the other inflammatory diseases of the pancreas. It has been recently histologically classified in type 1 and type 2 AIPs, not different at imaging, but with a better clinical outcome in type 2 compared to type 1.

From a clinical point of view, the key point in Italy is to differentiate focal form of the disease from pancreatic cancer. The Italian diagnostic algorithm is therefore addressed to exclude cancer in this setting and, therefore, to safely use steroids. In diffuse form of the disease, the clinical problem is to differentiate AIP from acute nonnecrotizing pancreatitis and to exclude neoplasia (cholangiocarcinoma or lymphoma) in some cases.

In this chapter, we report the clinical profile of an Italian series of patients with AIP and highlight the main radiological and pathological findings.

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Author information

Authors and Affiliations

  1. Department of Medicine, University of Verona, Policlinico G.B. Rossi P.le L.A. Scuro, 10, Verona, 37134, Italy

    Luca Frulloni M.D., Ph.D.

  2. Servizio di Anatomia-Istologia Patologica, Università di Verona, Ospedale S.Cuore-Don Calabria, Negrar-Verona, Italy

    Giuseppe Zamboni M.D.

Authors
  1. Luca Frulloni M.D., Ph.D.
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  2. Giuseppe Zamboni M.D.
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Corresponding author

Correspondence to Luca Frulloni M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. and Hepatology, Mayo Clinic Division of Gastroenterology, Rochester, Minnesota, USA

    Michael J. Levy

  2. and Hepatology, Mayo Clinic Division of Gastroenterology, Rochester, Minnesota, USA

    Suresh T. Chari

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Frulloni, L., Zamboni, G. (2013). Italian Experience. In: Levy, M., Chari, S. (eds) Autoimmune (IgG4-related) Pancreatitis and Cholangitis. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6430-4_20

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  • DOI: https://doi.org/10.1007/978-1-4419-6430-4_20

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-6429-8

  • Online ISBN: 978-1-4419-6430-4

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