Diagnostic Challenge With Auto-Immune Pancreatitis and IgG4-Related Disease

Ben Staum; Christopher Sumey; Kimberlee C Bohy; Karah White; Thavam Thambi-Pillai; Tim Ridgway; Muslim Atiq

Diagnostic Challenge With Auto-Immune Pancreatitis and IgG4-Related Disease

S D Med. 2020 Jun;73(6):266-269.

Authors

Ben Staum¹, Christopher Sumey^{2

3}, Kimberlee C Bohy^{4

5}, Karah White⁶, Thavam Thambi-Pillai^{7

8}, Tim Ridgway^{9

5}, Muslim Atiq^{10

11}

Affiliations

¹ University of South Dakota Sanford School of Medicine.
² Sanford Cancer Center, Sioux Falls, South Dakota.
³ Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
⁴ Sanford Health Pathology Clinic, Sioux Falls, South Dakota.
⁵ University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
⁶ Pathology Residency Program, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
⁷ Sanford Surgical Associates, Sioux Falls, South Dakota.
⁸ General Surgery Residency Program, University of South Dakota Sanford School of Medicine.
⁹ Veterans Administration Health Care System, Sioux Falls, South Dakota.
¹⁰ Sanford Center for Digestive Health, Sioux Falls, South Dakota.
¹¹ Internal Medicine Residency Program, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

PMID: 32580259

Abstract

IgG4-related disease (IgG4RD) is a chronic immune mediated condition primarily affecting the hepato-pancreatico-biliary system. We report a case of IgG4RD with extensive pancreatic and hepatic involvement masquerading as metastatic pancreatic malignancy posing a diagnostic and therapeutic dilemma.

Publication types

Case Reports

MeSH terms

Autoimmune Diseases* / diagnosis
Humans
Immunoglobulin G
Immunoglobulin G4-Related Disease* / diagnosis
Pancreas
Pancreatitis* / diagnosis

Substances

Immunoglobulin G