Autoimmune Hemolytic Anemia Obscured by the Obstructive Jaundice Associated with IgG4-related Sclerosing Cholangitis in a Patient with Type 1 Autoimmune Pancreatitis: A Case Report and Review of the Literature

被引：3
|
作者：
Yoshida, Michihiro [1 ]
Marumo, Yoshiaki [2 ]
Naitoh, Itaru [1 ]
Hayashi, Kazuki [1 ]
Miyabe, Katsuyuki [1 ]
Nishi, Yuji [1 ]
Fujita, Yasuaki [1 ]
Jinno, Naruomi [1 ]
Hori, Yasuki [1 ]
Natsume, Makoto [1 ]
Kato, Akihisa [1 ]
Iida, Shinsuke [2 ]
Joh, Takashi [1 ]
机构：
[1] Nagoya City Univ, Dept Gastroenterol & Metab, Grad Sch Med Sci, Nagoya, Aichi, Japan
[2] Nagoya City Univ, Dept Hematol & Oncol, Grad Sch Med Sci, Nagoya, Aichi, Japan
来源：
INTERNAL MEDICINE | 2018年 / 57卷 / 12期
基金：
日本学术振兴会;
关键词：
autoimmune pancreatitis (AIP); autoimmune hemolytic anemia (AIHA); IgG4-related disease (IgG4-RD); IgG4-related sclerosing cholangitis (IgG4-SC); DIAGNOSTIC-CRITERIA;
D O I：
10.2169/internalmedicine.9818-17
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Type 1 autoimmune pancreatitis (AIP) is a pancreatic manifestation of IgG4-retated disease that is often associated with IgG4-related sclerosing cholangitis (IgG4-SC). Autoimmune hemolytic anemia (AIHA) is an immune-related disease that causes hemolytic anemia. Although type 1 AIP/IgG4-SC and AIHA have a shared etiology as a presumed autoimmune disease, they rarely overlap, and their association has not been clarified. Secondary AIHA might not be diagnosed appropriately because the obstructive jaundice observed in type 1 AIP/IgG4-SC can obscure the presence of hemolytic jaundice. We herein report a case of type 1 AIP/IgG4-SC overlapping with secondary AIHA along with a review of the literature.
引用
收藏
页码：1725 / 1732
页数：8
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