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

页码：1725 / 1732

页数：8

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