Abstract
Over the course of the last 2 decades our knowledge of autoimmune pancreatitis has increased exponentially. In this review, we summarize the clinical presentation, diagnosis and treatment of AIP, to better allow general gastroenterologists and primary care providers to consider AIP as a as a rare but important cause of painless obstructive jaundice and recurrent acute pancreatitis. While steroids remain the mainstay of first line therapy, a number of patients with type 1 AIP require immunomodulators or rituximab to maintain remission; recommendations on the management of relapses continue to evolve.
MeSH terms
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Cholangiopancreatography, Endoscopic Retrograde
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Humans
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Immunoglobulin G / blood*
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Immunoglobulin G / immunology
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Immunoglobulin G4-Related Disease / complications
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Immunoglobulin G4-Related Disease / diagnosis*
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Immunoglobulin G4-Related Disease / drug therapy
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Immunoglobulin G4-Related Disease / immunology
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Immunologic Factors / therapeutic use*
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Jaundice, Obstructive / blood
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Jaundice, Obstructive / etiology*
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Liver Function Tests
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Magnetic Resonance Imaging
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Pancreas / diagnostic imaging
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Pancreas / immunology
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Pancreas / pathology
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Pancreatitis / complications
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Pancreatitis / diagnosis*
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Pancreatitis / drug therapy
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Pancreatitis / immunology
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Remission Induction / methods
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Tomography, X-Ray Computed
Substances
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Immunoglobulin G
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Immunologic Factors