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IgG4相关硬化性胆管炎漏诊1例报告

杜恒锐 王振江 任彦先 马志坚 王科深 展昊 俞泽元 焦作义

引用本文:
Citation:

IgG4相关硬化性胆管炎漏诊1例报告

DOI: 10.3969/j.issn.1001-5256.2018.10.031
基金项目: 

国家自然科学基金(31670847); 

详细信息
  • 中图分类号: R575.7

A case of missed diagnosis of IgG4-related sclerosing cholangitis

Research funding: 

 

  • 摘要: <正>IgG4相关硬化性胆管炎(IgG4-related sclerosing cholangitis,IgG4-RSC)是近几年新发现和认识的一种胆道疾病,主要临床表现为梗阻性黄疸、发热、皮肤瘙痒,血清Ig G4及转氨酶水平升高等。多数患者对激素治疗敏感,属于自身免疫性疾病的一种。现报道1例临床漏诊的IgG4-RSC。1病例资料患者男性,66岁,因"进行性皮肤巩膜黄染伴瘙痒14 d"于

     

  • [1]ZWICKER J, MICHAUD J, TORRES C.Ig G4-related disease presenting as dural thickening-a rare cause of myelopathy[J].Can J Neurol Sci, 2014, 41 (3) :392-396.
    [2]RUNGSAKULKIJ N, SORNMAYURA P, TANNAPHAI P.Isolated Ig G4-related sclerosing cholangitis misdiagnosed as malignancy in an area with endemic cholangiocarcinoma:A case report[J].BMCSurgery, 2017, 17 (1) :17-23.
    [3]LI H, SUN L, BRIGSTOCK DR, et al.Ig G4-related sclerosing cholangitis overlapping with autoimmune hepatitis:Report of a case[J].Pathol Res Pract, 2017, 213 (5) :565-569.
    [4]SUN D, GENG C, WU YK, et al.Ig G4-associated sclerosing cholangitis misdiagnosed as cholangiocarcinoma:A case report and literature review[J].Chin J Bases Clin Gen Surg, 2017, 24 (5) :626-628. (in Chinese) 孙丹, 耿冲, 武永康, 等.1例Ig G4相关性硬化性胆管炎误诊为胆管癌的病例分析并文献复习[J].中国普外基础与临床杂志, 2017, 24 (5) :626-628.
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    [6]LI YH, XIANG XX.Research advances in immunoglobulin G4-related sclerosing cholangitis[J].J Clin Hepatol, 2017, 33 (11) :2239-2242. (in Chinese) 李雨涵, 向晓星.Ig G4相关性硬化性胆管炎的研究现状[J].临床肝胆病杂志, 2017, 33 (11) :2239-2242.
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    [8]TANAKA A, TAZUMA S, OKAZAKI K, et al.Clinical features, response to treatment, and outcomes of Ig G4-related sclerosing cholangitis[J].Clin Gastroenterol Hepatol, 2017, 15 (6) :920-926.
    [9]TANAKA A, TAZUMA S, NAKAZAWA T, et al.No negative impact of serum Ig G4 levels on clinical outcome in 435 patients with primary sclerosing cholangitis from Japan[J].J HepatoBiliary Pancreat Sci, 2017, 24 (4) :217-225.
    [10]GEARY K, YAZICI C, SEIBOLD A, et al.Ig G4-related cholangiopathy and its mimickers:A case report and review highlighting the importance of early diagnosis[J].Int J Surg Pathol, 2018, 26 (2) :165-173.
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  • 出版日期:  2018-10-20
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