期刊文献+

IgG_4相关硬化性胆管炎的研究进展 被引量:1

The research progress of IgG_4-related sclerosing cholangitis
下载PDF
导出
摘要 IgG4相关的硬化性胆管炎是一类发病机制不明的硬化性胆管炎,其特征为血清IgG4水平升高,胆管壁大量IgG4阳性浆细胞浸润和纤维化,胆管周围炎症反应显著,胆管上皮细胞保持完整,胆管成像显示弥漫性或节段性肝内和/或肝外胆管狭窄、胆管壁增厚。该病作为继发性硬化性胆管炎的一种,越来越受到重视,其中大部分患者对类固醇治疗效果良好,但仍有一部分患者治疗效果不佳,本文对IgG4-SC的诊疗方面作一综述。 IgG4-related sclerosing cholangitis(IgG4-SC) is a class of unknown pathogenic mechanism characterized by sclerosing cholangitis, characterized by elevated serum IgG4 levels, bile duct wall is a large number of IgG4-positive plasma cell infiltration and fibrous inflammatory reaction around the bile duct significantly, biliary epithelial cells remain intact, biliary imaging showed diffuse or segmental intrahepatic and/or extrahepatic bile duct stenosis, bile duct wall thickening. SSC was paid more attention in this year, and well therapeutic effective can be caused after steroid adminis- tration. In order to provide meaningful reference, the advance of IgG4-SC regarding its basic and clinical significances were reviewed.
出处 《胃肠病学和肝病学杂志》 CAS 2013年第3期291-294,共4页 Chinese Journal of Gastroenterology and Hepatology
关键词 IGG4 硬化性胆管炎 类固醇 自身免疫 纤维化 胆汁淤积 IgG4 Sclerosing cholangitis Steroid Autoimmunity Fibrosis Cbolestasis
  • 相关文献

参考文献1

二级参考文献15

  • 1Okazaki K,Uchida K,Chiba T.Recent concept of autoimmune-related pancreatitis.J Gastroenterol 2001; 36:293-302
  • 2Kim KP,Kim MH,Song MH,Lee SS,Seo DW,Lee SK.Autoimmune chronic pancreatitis.Am J Gastroenterol 2004;99:1605-1616
  • 3Lara LP,Chari ST.Autoimmune pancreatitis.Curr Gastroenterol Rep 2005; 7:101-106
  • 4Nakazawa T,Ohara H,Yamada T,Ando H,Sano H,Kajino S,Hashimoto T,Nakamura S,Ando T,Nomura T,Joh T,Itoh M.Atypical primary sclerosing cholangitis cases associated with unusual pancreatitis.Hepatogastroenterology 2001; 48:625-630
  • 5Kamisawa T,Egawa N,Tsuruta K,Okamoto A,Funata N.Primary sclerosing cholangitis may be overestimated in Japan.J Gastroenterol 2005; 40:318-319
  • 6Linder K,LaRusso NF.Primary sclerosing cholangitis.In:Schiff ER,Sorrell MF,Maddrey WC,editors.Disease of the liver.9th ed.Philadelphia:JB Lippincott,2003:673-684
  • 7LaRusso NF,Wiesner RH,Ludwig J,MacCarty RL.Current concepts.Primary sclerosing cholangitis.N Engl J Med 1984;310:899-903
  • 8Wiesner RH,Grambsch PM,Dickson ER,Ludwig J,MacCarty RL,Hunter EB,Fleming TR,Fisher LD,Beaver SJ,LaRusso NF.Primary sclerosing cholangitis:natural history,prognostic factors and survival analysis.Hepatology 1989; 10:430-436
  • 9Nakazawa T,Ohara H,Sano H,Ando T,Aoki S,Kobayashi S,Okamoto T,Nomura T,Joh T,Itoh M.Clinical differences between primary sclerosing cholangitis and sclerosingcholangitis with autoimmune pancreatitis.Pancreas 2005; 30:20-25
  • 10Takikawa H,Manabe T.Primary sclerosing cholangitis in Japan--analysis of 192 cases.J Gastroenterol 1997; 32:134-137

共引文献8

同被引文献26

  • 1KAMISAWA T,FUNATA N,HAYASHI Y,et al.A new clinicopathological entity of IgG4-related autoimmune disease[J].J Gastroenterol,2003,38:982-984.
  • 2TAKAHASHI H,YAMAMOTO M,SUZUKI C,et al.The birthday of a new syndrome:IgG4-related diseases constitute a clinical entity[J].Autoimmunity reviews,2010,9:591-594.
  • 3UMEHARA H,OKAZAKI K,MASAKI Y,et al.Comprehensive diagnostic criteria for IgG4-related disease(IgG4-RD),2011[J].Modern rheumatology/the Japan Rheumatism Association,2012,22:21-30.
  • 4KAMISAWA T,TAKUMA K FAU-EGAWA N,EGAWA N FAU-TSURUTA K,et al.Autoimmune pancreatitis and IgG4-related sclerosing disease[J].Nat Rev Gastroenterol Hepatol,2010,7:401-409.
  • 5OTSUKI M,CHUNG J B,OKAZAKI K,et al.Asian diagnostic criteria for autoimmune pancreatitis:consensus of the Japan-Korea Symposium on Autoimmune Pancreatitis[J].J Gastroenterol,2008,43:403-408.
  • 6MOON S H,KIM M H,PARK D H,et al.Is a 2-week steroid trial after initial negative investigation for malignancy useful in differentiating autoimmune pancreatitis from pancreatic cancer?A prospective outcome study[J].Gut,2008,57:1704-1712.
  • 7BJORNSSON E,CHARI S T,SMYRK T C,et al.Immunoglobulin G4associated cholangitis:description of an emerging clinical entity based on review of the literature[J].Hepatology,2007,45:1547-1554.
  • 8OHARA H,OKAZAKI K,TSUBOUCHI H,et al.Clinical diagnostic criteria of IgG4-related sclerosing cholangitis 2012[J].J hepato-biliary-pancreatic sciences,2012,19:536-542.
  • 9ZEN Y,HARADA K,SASAKI M,et al.IgG4-related sclerosing cholangitis with and without hepatic inflammatory pseudotumor,and sclerosing pancreatitis-associated sclerosing cholangitis:do they belong to a spectrum of sclerosing pancreatitis[J]?Am J Surg Pathol,2004,28:1193-1203.
  • 10NAKAZAWA T,NAITOH I,HAYASHI K.Usefulness of Intraductal Ultrasonography in the Diagnosis of Cholangiocarcinoma and IgG4-Related Sclerosing Cholangitis[J].Clin Endosc,2012,45:331-336.

引证文献1

二级引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部