Autoimmune Pancreatitis and IgG4 Related Disease in Three Children
AuthorBolia, R; Chong, SY; Coleman, L; MacGregor, D; Hardikar, W; Oliver, MR
Source TitleACG Case Reports Journal
PublisherLIPPINCOTT WILLIAMS & WILKINS
Medicine and Radiology
Document TypeJournal Article
CitationsBolia, R., Chong, S. Y., Coleman, L., MacGregor, D., Hardikar, W. & Oliver, M. R. (2016). Autoimmune Pancreatitis and IgG4 Related Disease in Three Children. ACG CASE REPORTS JOURNAL, 3 (4), https://doi.org/10.14309/crj.2016.88.
Access StatusOpen Access
We report 3 children who presented with fever and abdominal pain, deranged liver function tests, and on abdominal ultrasound were found to have an enlarged pancreas, substantial abdominal lymphadenopathy, and extrahepatic biliary duct dilatation. After ruling out malignancy, probable immunoglobulin G4-related disease (IgG4RD) associated with autoimmune pancreatitis was considered. This condition was first described in the adults and often mimics pancreatic cancer. It can involve multiple organs, either synchronously or metachronously, and is rarely reported in children. The disorder mostly responds to corticosteroid therapy and other immune suppression. We highlight the difficulty in diagnosing autoimmune pancreatitis/IgG4-related disease in children and illustrate the difference between pediatric and adult presentation.
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