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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

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 h...

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Autores principales: Yoshida, Michihiro, Marumo, Yoshiaki, Naitoh, Itaru, Hayashi, Kazuki, Miyabe, Katsuyuki, Nishi, Yuji, Fujita, Yasuaki, Jinno, Naruomi, Hori, Yasuki, Natsume, Makoto, Kato, Akihisa, Iida, Shinsuke, Joh, Takashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047980/
https://www.ncbi.nlm.nih.gov/pubmed/29269682
http://dx.doi.org/10.2169/internalmedicine.9818-17
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author Yoshida, Michihiro
Marumo, Yoshiaki
Naitoh, Itaru
Hayashi, Kazuki
Miyabe, Katsuyuki
Nishi, Yuji
Fujita, Yasuaki
Jinno, Naruomi
Hori, Yasuki
Natsume, Makoto
Kato, Akihisa
Iida, Shinsuke
Joh, Takashi
author_facet Yoshida, Michihiro
Marumo, Yoshiaki
Naitoh, Itaru
Hayashi, Kazuki
Miyabe, Katsuyuki
Nishi, Yuji
Fujita, Yasuaki
Jinno, Naruomi
Hori, Yasuki
Natsume, Makoto
Kato, Akihisa
Iida, Shinsuke
Joh, Takashi
author_sort Yoshida, Michihiro
collection PubMed
description 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.
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spelling pubmed-60479802018-07-17 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 Yoshida, Michihiro Marumo, Yoshiaki Naitoh, Itaru Hayashi, Kazuki Miyabe, Katsuyuki Nishi, Yuji Fujita, Yasuaki Jinno, Naruomi Hori, Yasuki Natsume, Makoto Kato, Akihisa Iida, Shinsuke Joh, Takashi Intern Med Case Report 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. The Japanese Society of Internal Medicine 2017-12-21 2018-06-15 /pmc/articles/PMC6047980/ /pubmed/29269682 http://dx.doi.org/10.2169/internalmedicine.9818-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yoshida, Michihiro
Marumo, Yoshiaki
Naitoh, Itaru
Hayashi, Kazuki
Miyabe, Katsuyuki
Nishi, Yuji
Fujita, Yasuaki
Jinno, Naruomi
Hori, Yasuki
Natsume, Makoto
Kato, Akihisa
Iida, Shinsuke
Joh, Takashi
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047980/
https://www.ncbi.nlm.nih.gov/pubmed/29269682
http://dx.doi.org/10.2169/internalmedicine.9818-17
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