Eosinophilic cholangitis with initial clinical features indistinguishable from IgG4-related cholangitis

Internal Medicine

Volumn 48, Issue 13, 2009, Pages 1143-1147

  Iwamuro, Masaya ^a   Yamamoto, Kazuhide ^a   Kawamoto, Hirofumi ^a   Terada, Ryo ^a   Ogawa, Tsuneyoshi ^a   Nose, Soichiro ^b  

^a OKAYAMA UNIVERSITY   (Japan)

^b OKAYAMA SAISEIKAI GENERAL HOSPITAL   (Japan)

Author keywords

Autoimmune pancreatitis; Eosinophilia; Eosinophilic cholangitis; IgG4 related cholangitis; Sclerosing cholangitis

Indexed keywords

ALANINE AMINOTRANSFERASE; ASPARTATE AMINOTRANSFERASE; BILIRUBIN; IMMUNOGLOBULIN G4; LIVER ENZYME; PREDNISONE; STEROID; URSODEOXYCHOLIC ACID;

AGED; ALANINE AMINOTRANSFERASE BLOOD LEVEL; ARTICLE; ASPARTATE AMINOTRANSFERASE BLOOD LEVEL; BILE DUCT OBSTRUCTION; BILIRUBIN BLOOD LEVEL; CASE REPORT; CHOLANGITIS; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; DIFFERENTIAL DIAGNOSIS; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; EOSINOPHIL; EOSINOPHIL CHOLANGITIS; FEMALE; HISTOPATHOLOGY; HUMAN; HUMAN TISSUE; IMMUNOGLOBULIN BLOOD LEVEL; IMMUNOGLOBULIN G4 RELATED CHOLANGITIS; IMMUNOHISTOCHEMISTRY; JAPANESE; JAUNDICE; LIVER BIOPSY; PLASMA CELL;

AGED; AUTOIMMUNE DISEASES; CHOLANGITIS; CHOLANGITIS, SCLEROSING; DIAGNOSIS, DIFFERENTIAL; EOSINOPHILIA; EOSINOPHILS; FEMALE; HUMANS; IMMUNOGLOBULIN G; LIVER; PANCREATITIS; PLASMA CELLS;

EID: 67650690828     PISSN: 09182918     EISSN: 13497235     Source Type: Journal    
DOI: 10.2169/internalmedicine.48.1892     Document Type: Article

References (19)

1. Butler TW, Feintuch TA, Caine WP Jr. Eosinophilic cholangitis, lymphadenopathy, and peripheral eosinophilia: a case report. Am J Gastroenterol 80: 572-574, 1985.
2. Bjornsson E, Chari ST, Smyrk TC, Lindor K. Immunoglobulin G4 associated cholangitis: description of an emerging clinical entity based on review of the literature. Hepatology 45: 1547-1554, 2007.
3. Ghazale A, Chari ST, Zhang L, et al. Immunoglobulin G4-associated cholangitis: clinical profile and response to therapy. Gastroenterology 134: 706-715, 2008.
4. Hamano H, Kawa S, Horiuchi A, et al. High serum IgG4 concentrations in patients with sclerosing pancreatitis. N Engl J Med 344: 732-738, 2001.
5. Kamisawa T, Funata N, Hayashi Y, et al. A new clinicopathological entity of IgG4-related autoimmune disease. J Gastroenterol 38: 982-984, 2003.
6. Deshpande V, Chicano S, Finkelberg D, et al. Autoimmune pancreatitis: a systemic immune complex mediated disease. Am J Surg Pathol 30: 1537-1545, 2006.
7. Zhang L, Notohara K, Levy MJ, Chari ST, Smyrk TC. IgG4-positive plasma cell infiltration in the diagnosis of autoimmune pancreatitis. Mod Pathol 20: 23-28, 2007.
8. Takahashi N, Kawashima A, Fletcher JG, Chari ST. Renal involvement in patients with autoimmune pancreatitis: CT and MR imaging findings. Radiology 242: 791-801, 2007.
9. Kamisawa T, Okamoto A. IgG4-related sclerosing disease. World J Gastroenterol 14: 3948-3955, 2008.
10. Nakazawa T, Ohara H, Sano H, et al. Cholangiography can discriminate sclerosing cholangitis with autoimmune pancreatitis from primary sclerosing cholangitis. Gastrointest Endosc 60: 937-944, 2004.
11. Kamisawa T. IgG4-positive plasma cells specially infiltrate various organs in autoimmune pancreatitis. Pancreas 29: 167-168, 2004.
12. Koh GC, Shek LP, Goh DY, Van Bever H, Koh DS. Eosinophil cationic protein: is it useful in asthma? A systematic review. Respir Med 101: 696-705, 2007.
13. van Neerven RJ, Knol EF, Ejrnaes A, Wurtzen PA. IgE-mediated allergen presentation and blocking antibodies: regulation of T-cell activation in allergy. Int Arch Allergy Immunol 141: 119-129, 2006.
14. Akdis M. Healthy immune response to allergens: T regulatory cells and more. Curr Opin Immunol 18: 738-744, 2006.
15. Carballido JM, Carballido-Perrig N, Kagi MK, et al. T cell epitope specificity in human allergic and nonallergic subjects to bee venom phospholipase A2. J Immunol 150: 3582-3591, 1993.
16. Okazaki K, Uchida K, Matsushita M, Takaoka M. Autoimmune pancreatitis. Intern Med 44: 1215-1223, 2005.
17. Uchida K, Okazaki K, Nishi T, et al. Experimental immune-mediated pancreatitis in neonatally thymectomized mice immunized with carbonic anhydrase II and lactoferrin. Lab Invest 82: 411-424, 2002.
18. Ito T, Nakano I, Koyanagi S, et al. Autoimmune pancreatitis as a new clinical entity. Three cases of autoimmune pancreatitis with effective steroid therapy. Dig Dis Sci 42: 1458-1468, 1997.
19. Zen Y, Fujii T, Harada K, et al. Th2 and regulatory immune reactions are increased in immunoglobin G4-related sclerosing pancreatitis and cholangitis. Hepatology 45: 1538-1546, 2007.