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KMID : 0359020080370010065
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Korean Journal of Gastrointestinal Endoscopy
2008 Volume.37 No. 1 p.65 ~ p.70
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A Case of Autoimmune Chronic Pancreatitis that was Rapidly Aggravated Despite Oral Steroid Maintenance Therapy
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Hwang Jae-Chul
Yoo Byung-Moo
Koh Kyung-Hyun
Kim Dong-Hoon
Kang Chang-Jun
Jeung Jai-Hak
Park Byoung-Joon
Kim Jin-Hong
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Abstract
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In a case of autoimmune chronic pancreatitis that relapsed despite maintenance therapy with low-dose steroid, highdose
steroid can induce remission of the disease, and maintenance therapy of steroid is usually recommended in that case. A 57-year-old man developed epigastric pain and jaundice. The patient was diagnosed with autoimmune chronic pancreatitis. The abnormalities in the clinical, laboratory and radiologic findings improved after oral steroid therapy. After two relapsed episodes, maintenance therapy of steroid with 5 mg prednisolone/day was administrated. In the studies for follow up, the level of serum IgG was increased and abdominal computed tomography showed calcification and pseudocyst in the pancreatic tail. To our knowledge, this is a rare case of autoimmune chronic pancreatitis aggravated rapidly despite oral steroid maintenance therapy.
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KEYWORD
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Autoimmune pancreatitis, Steroid
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