Recent Advances in the Diagnosis and Management of Autoimmune Pancreatitis: Similarities and Differences in Japan and Korea
Two subtypes (types 1 and 2) of autoimmune pancreatitis (AIP) are currently recognized. Type 1 AIP is related to immunoglobulin G4 (lymphoplasmacytic sclerosing pancreatitis), and type 2 AIP is characterized by neutrophilic infiltration into the epithelium of the pancreatic duct (idiopathic duct-cen...
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Published in | Gut and liver Vol. 7; no. 4; pp. 394 - 400 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Korea (South)
The Korean Society of Gastroenterology; the Korean Society of Gastrointestinal Endoscopy; the Korean Association for the Study of the Liver; the Korean Society of Neurogastroenterology and Motility; Korean Association for the Study of Intestinal Diseases; Korean College of Helicobacter and Upper Gastrointestinal Research; Korean Pancreatobiliary Association; Korean Society of Gastrointestinal Cancer
01.07.2013
Gastroenterology Council for Gut and Liver 거트앤리버 소화기연관학회협의회 |
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Online Access | Get full text |
ISSN | 1976-2283 2005-1212 |
DOI | 10.5009/gnl.2013.7.4.394 |
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Abstract | Two subtypes (types 1 and 2) of autoimmune pancreatitis (AIP) are currently recognized. Type 1 AIP is related to immunoglobulin G4 (lymphoplasmacytic sclerosing pancreatitis), and type 2 AIP is characterized by neutrophilic infiltration into the epithelium of the pancreatic duct (idiopathic duct-centric pancreatitis). Although type 2 AIP is sometimes observed in the United States and Europe, most cases of AIP in Japan and Korea are type 1. The international consensus diagnostic criteria for AIP were created to be applicable worldwide and to distinguish between the two types of AIP. AIP is diagnosed based on the presence of at least one of the five cardinal features (i.e., imaging, serology, other organ involvement, histology, and response to steroid therapy). Oral steroids are the standard therapy for AIP, but immunomodulatory drugs or rituximab have been successfully used for patients with relapsed AIP in the United States and Europe. Generally, the clinical manifestations and demography of AIP are similar between Japan and Korea. However, there are differences in some aspects of the disease, including the proportion of other organ involvement, the prevalence of type 2 AIP, diagnostic criteria and maintenance therapy between the two countries. |
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AbstractList | Two subtypes (types 1 and 2) of autoimmune pancreatitis (AIP) are currently recognized. Type 1 AIP is related to immunoglobulin G4 (lymphoplasmacytic sclerosing pancreatitis), and type 2 AIP is characterized by neutrophilic infiltration into the epithelium of the pancreatic duct (idiopathic duct-centric pancreatitis). Although type 2 AIP is sometimes observed in the United States and Europe, most cases of AIP in Japan and Korea are type 1. The international consensus diagnostic criteria for AIP were created to be applicable worldwide and to distinguish between the two types of AIP. AIP is diagnosed based on the presence of at least one of the five cardinal features (i.e., imaging, serology, other organ involvement, histology, and response to steroid therapy). Oral steroids are the standard therapy for AIP, but immunomodulatory drugs or rituximab have been successfully used for patients with relapsed AIP in the United States and Europe. Generally, the clinical manifestations and demography of AIP are similar between Japan and Korea. However, there are differences in some aspects of the disease, including the proportion of other organ involvement, the prevalence of type 2 AIP, diagnostic criteria and maintenance therapy between the two countries.Two subtypes (types 1 and 2) of autoimmune pancreatitis (AIP) are currently recognized. Type 1 AIP is related to immunoglobulin G4 (lymphoplasmacytic sclerosing pancreatitis), and type 2 AIP is characterized by neutrophilic infiltration into the epithelium of the pancreatic duct (idiopathic duct-centric pancreatitis). Although type 2 AIP is sometimes observed in the United States and Europe, most cases of AIP in Japan and Korea are type 1. The international consensus diagnostic criteria for AIP were created to be applicable worldwide and to distinguish between the two types of AIP. AIP is diagnosed based on the presence of at least one of the five cardinal features (i.e., imaging, serology, other organ involvement, histology, and response to steroid therapy). Oral steroids are the standard therapy for AIP, but immunomodulatory drugs or rituximab have been successfully used for patients with relapsed AIP in the United States and Europe. Generally, the clinical manifestations and demography of AIP are similar between Japan and Korea. However, there are differences in some aspects of the disease, including the proportion of other organ involvement, the prevalence of type 2 AIP, diagnostic criteria and maintenance therapy between the two countries. Two subtypes (types 1 and 2) of autoimmune pancreatitis (AIP) are currently recognized. Type 1 AIP is related to immunoglobulin G4 (lymphoplasmacytic sclerosing pancreatitis), and type 2 AIP is characterized by neutrophilic infiltration into the epithelium of the pancreatic duct (idiopathic duct-centric pancreatitis). Although type 2 AIP is sometimes observed in the United States and Europe, most cases of AIP in Japan and Korea are type 1. The international consensus diagnostic criteria for AIP were created to be applicable worldwide and to distinguish between the two types of AIP. AIP is diagnosed based on the presence of at least one of the five cardinal features (i.e., imaging, serology, other organ involvement, histology, and response to steroid therapy). Oral steroids are the standard therapy for AIP, but immunomodulatory drugs or rituximab have been successfully used for patients with relapsed AIP in the United States and Europe. Generally, the clinical manifestations and demography of AIP are similar between Japan and Korea. However, there are differences in some aspects of the disease, including the proportion of other organ involvement, the prevalence of type 2 AIP, diagnostic criteria and maintenance therapy between the two countries. Two subtypes (types 1 and 2) of autoimmune pancreatitis (AIP) are currently recognized. Type 1 AIP is related to immunoglobulin G4 (lymphoplasmacytic sclerosing pancreatitis),and type 2 AIP is characterized by neutrophilic infiltration into the epithelium of the pancreatic duct (idiopathic duct-centric pancreatitis). Although type 2 AIP is sometimes observed in the United States and Europe, most cases of AIP in Japan and Korea are type 1. The international consensus diagnostic criteria for AIP were created to be applicable worldwide and to distinguish between the two types of AIP. AIP is diagnosed based on the presence of at least one of the five cardinal features (i.e., imaging, serology, other organ involvement,histology, and response to steroid therapy). Oral steroids are the standard therapy for AIP, but immunomodulatory drugs or rituximab have been successfully used for patients with relapsed AIP in the United States and Europe. Generally, the clinical manifestations and demography of AIP are similar between Japan and Korea. However, there are differences in some aspects of the disease, including the proportion of other organ involvement, the prevalence of type 2 AIP, diagnostic criteria and maintenance therapy between the two countries. KCI Citation Count: 9 |
Author | Shimosegawa, Tooru Kim, Myung Hwan Chung, Jae Bock Okazaki, Kazuichi Ryu, Ji Kon Kamisawa, Terumi |
AuthorAffiliation | Department of Internal Medicine, Institute of Gastroenterology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan Department of Gastroenterology and Hepatology, Kansai Medical University, Osaka, Japan Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Division of Gastroenterology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea |
AuthorAffiliation_xml | – name: Department of Internal Medicine, Institute of Gastroenterology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea – name: Division of Gastroenterology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea – name: Department of Gastroenterology and Hepatology, Kansai Medical University, Osaka, Japan – name: Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan – name: Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan – name: Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea |
Author_xml | – sequence: 1 givenname: Terumi surname: Kamisawa fullname: Kamisawa, Terumi – sequence: 2 givenname: Ji Kon surname: Ryu fullname: Ryu, Ji Kon – sequence: 3 givenname: Myung Hwan surname: Kim fullname: Kim, Myung Hwan – sequence: 4 givenname: Kazuichi surname: Okazaki fullname: Okazaki, Kazuichi – sequence: 5 givenname: Tooru surname: Shimosegawa fullname: Shimosegawa, Tooru – sequence: 6 givenname: Jae Bock surname: Chung fullname: Chung, Jae Bock |
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CitedBy_id | crossref_primary_10_1186_s40792_018_0546_9 crossref_primary_10_1097_MEG_0000000000002846 crossref_primary_10_3390_ijms21010257 crossref_primary_10_4292_wjgpt_v9_i2_16 crossref_primary_10_1053_j_gastro_2015_04_051 crossref_primary_10_1111_odi_13926 crossref_primary_10_1055_s_0042_1750438 crossref_primary_10_3238_arztebl_2015_0128 crossref_primary_10_2958_suizo_30_85 crossref_primary_10_1016_j_cytogfr_2014_01_003 crossref_primary_10_15279_kpba_2014_19_1_1 crossref_primary_10_1371_journal_pone_0127078 crossref_primary_10_1007_s00117_016_0163_1 crossref_primary_10_1007_s10620_020_06338_8 crossref_primary_10_2217_imt_14_20 |
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Copyright | Copyright © 2013 by the Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, Korean College of Helicobacter and Upper Gastrointestinal Research, Korean Association for the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, Korean Pancreatobiliary Association, and Korean Society of Gastrointestinal Cancer 2013 |
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Keywords | Immunoglobulin G Pancreatitis Steroids |
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