ABSTRACT
Autoimmune pancreatitis is uncommon, responds to steroids and is usually associated with diabetes mellitus. We report a 73 year-old male who, two months after a diagnosis of diabetes mellitus, presented with obstructive jaundice and weight loss. Abdominal magnetic resonance imaging was suggestive of an autoimmune pancreatitis and serum IgG4 was 339 mg/dl (normal range 3-201). The patient was treated with prednisone 40 mg/day with a good clinical and laboratory response. During outpatient care, the dose of prednisone was tapered.
Subject(s)
Autoimmune Pancreatitis/complications , Autoimmune Pancreatitis/drug therapy , Diabetes Complications , Diabetes Mellitus , Glucocorticoids/therapeutic use , Prednisone/therapeutic use , Aged , Autoimmune Pancreatitis/diagnostic imaging , Diabetes Complications/complications , Diabetes Complications/drug therapy , Diabetes Mellitus/drug therapy , Humans , Hypoglycemic Agents/therapeutic use , Immunoglobulin G/blood , Insulin/therapeutic use , Magnetic Resonance Imaging , Male , Treatment OutcomeABSTRACT
Autoimmune pancreatitis is uncommon, responds to steroids and is usually associated with diabetes mellitus. We report a 73 year-old male who, two months after a diagnosis of diabetes mellitus, presented with obstructive jaundice and weight loss. Abdominal magnetic resonance imaging was suggestive of an autoimmune pancreatitis and serum IgG4 was 339 mg/dl (normal range 3-201). The patient was treated with prednisone 40 mg/day with a good clinical and laboratory response. During outpatient care, the dose of prednisone was tapered.