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Close relationship between autoimmune pancreatitis and multifocal fibrosclerosis
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  • Published on:
    Response to steroid therapy of sclerosing cholangitis after duodenopancreatectomy due to autoimmune
    • David Padilla, Digestive Surgeon of Department of Surgery,Complejo Hospitalario, Ciudad Real, Spain
    • Other Contributors:
      • Teófilo Cubo,Pedro Villarejo, Ricardo Pardo, Alberto Jara, Roberto de la Plaza, José Hernández

    Dear Editor,

    Autoimmune pancreatitis is a chronic inflammation of the pancreas due to etiopathogenic mechanisms of autoimmunity. There are no established definitive diagnostic criteria, although histological, analytical and radiological characteristics do enable us to identify this entity in the differential diagnosis with chronic alcoholic pancreatitis and cancer of the pancreas [1,2,3]. Nevertheless, this is no...

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    Conflict of Interest:
    None declared.
  • Published on:
    Author's reply
    • Terumi Kamisawa, physician
    • Other Contributors:
      • Nobuaki Funata and Atsutake Okamoto

    Dear Editor

    We thank Dr Taniguchi et al. for his interesting presentation of interstitial pneumonia associated with autoimmune pancreatitis (AIP).

    We have experienced 24 cases of AIP, however, no cases showed interstitial pneumonia clinically. Recently we immunohistochemically examined the organs of eight patients with AIP using anti-IgG4 antibody. Many IgG4-positive plasmacytic infiltration was dete...

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    Conflict of Interest:
    None declared.
  • Published on:
    Interstitial pneumonia associated with autoimmune pancreatitis
    • Takao Taniguchi, MD, PhD
    • Other Contributors:
      • Mari Ko, Shuji Seko, Osamu Nishida , Fumihiko Inoue, Hisato Kobayashi, Tatsuo Fukuse , Tatsuoki Saiga, and Motozumi Okamoto

    Dear Editor

    We read with interest the article by Kamisawa and colleagues reporting IgG4-positive plasma cells in the peripancreatic tissue, extraphepatic bile duct, gall bladder, and salivary gland.[1] The association of retroperitoneal fibrosis and sclerosing pancreatitis with IgG4 -bearing plasma cells in the tissues of both lesions has been also reported.[2]

    We would like to report the first case of...

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    Conflict of Interest:
    None declared.
  • Published on:
    Author's reply
    • Terumi Kamisawa, Department of Internal Medicine
    • Other Contributors:
      • Nobuaki Funata and Atsutake Okamoto

    Dear Author

    Autoimmune pancreatitis is a recently described clinical entity, in which autoimmune mechanisms are involved in pathogenesis. As Etemand et al.[1] described that autoimmunity was one of six risk factors of chronic pancreatitis, autoimmune pancreatitis is not acute but chronic pancreatitis. Patients with autoimmune pancreatitis rarely showed acute attacks of pancreatitis or marked elevation of serum...

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    Conflict of Interest:
    None declared.
  • Published on:
    Primary antiphospholipid syndrome as a new cause of autoimmune pancreatitis

    Dear Editor

    I read with interest the recent article by Kamisawa et al. regarding the aetiology of autoimmune pancreatitis.[1] The cause of a significant proportion of cases of acute pancreatitis remains uncertain. I would like to describe a case of acute pancreatitis associated with antiphospholipid syndrome to highlight another potentially important cause of autoimmune pancreatitis which I believe has not...

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    Conflict of Interest:
    None declared.