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Korean Experience

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Book cover Autoimmune (IgG4-related) Pancreatitis and Cholangitis

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Abstract

Since 2002, when the first case of autoimmune pancreatitis (AIP) was recognized in Korea, more than 200 cases have been registered in Korea. This chapter reviews the cardinal features of Korean AIP patients in accordance with findings on imaging, serology, other organ involvement, histology, and response to steroids. Most of the Korean patients with AIP were older than 50 years of age and had diffuse pancreatic enlargement on imaging and increased serum IgG4 levels. Most commonly involved extrapancreatic organs were bile duct, kidney, and retroperitoneum. Histopathologically, idiopathic duct-centric chronic pancreatitis (type 2 AIP) was diagnosed in 12 % of Korean AIP patients. Clinical and radiological remission was achieved in all patients who were treated with corticosteroids. However, 30 % of the patients experienced a disease relapse after a follow-up of more than 2 years. This chapter also provides Korean strategy for evaluation and management of AIP.

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Author information

Authors and Affiliations

  1. Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, 388-1, Pungnap-2done, Songpa-gu, Seoul, 138-736, South Korea

    Myung-Hwan Kim M.D., Ph.D.

  2. Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang-si, South Korea

    Sung-Hoon Moon M.D.

Authors
  1. Myung-Hwan Kim M.D., Ph.D.
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  2. Sung-Hoon Moon M.D.
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Corresponding author

Correspondence to Myung-Hwan Kim 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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Kim, MH., Moon, SH. (2013). Korean 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_23

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  • DOI: https://doi.org/10.1007/978-1-4419-6430-4_23

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-6429-8

  • Online ISBN: 978-1-4419-6430-4

  • eBook Packages: MedicineMedicine (R0)

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