{"id":2538,"date":"2009-03-03T18:40:04","date_gmt":"2009-03-03T18:40:04","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gasautopan\/"},"modified":"2025-05-14T19:11:00","modified_gmt":"2025-05-14T19:11:00","slug":"gasautopan","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/gasautopan\/","title":{"rendered":"Diagnostic Criteria for Autoimmune Pancreatitis"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div class=\"Section1\">\n<p class=\"MsoNormal\"><strong> Diagnostic Criteria for Autoimmune Pancreatitis by the Japan Pancreas Society<\/strong><\/p>\n<p><!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"border: 1pt solid windowtext; padding: 0cm 5.4pt; width: 179.5pt;\" colspan=\"2\" align=\"center\" valign=\"top\" width=\"239\">\n<p class=\"MsoNormal\"><strong> Findings on Imaging Radiography (One Required)<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 269.4pt; border: 1pt 1pt 1pt medium solid solid solid none windowtext windowtext windowtext -moz-use-text-color;\" colspan=\"3\" align=\"center\" valign=\"top\" width=\"359\">\n<p class=\"MsoNormal\"><strong> Serologic and Histologic Findings (One Required)<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 89.75pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Cross-sectional Imaging<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.75pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">ERCP or MRCP<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.8pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Serologic Analysis<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.8pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Pancreatic-Biliary Histologic Analysis<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.8pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Nongastrointestinal Histologic Analysis<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 89.75pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Diffusely enlarged pancreas<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.75pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Segmental pancreatic ductal narrowing<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.8pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Elevated serum IgG4 level<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.8pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Periductal lympho-plasmacytic infiltration or fibrosis<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.8pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Tubulointerstitial nephritis with immune deposits within tubular basement membranes<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 89.75pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Enhanced peripheral rim of hypoattenuation \u201chalo\u201d<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.75pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Focal pancreatic ductal narrowing<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.8pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Elevated serum IgG or gamma globulin level<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.8pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Obliterative phlebitis<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.8pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Pulmonary interstitial lymphoplasmacytic infiltration with IgG4-positive plasma cells<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 89.75pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Low-attenuation mass in head of pancreas<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.75pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Diffuse pancreatic ductal narrowing<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.8pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Presence of ALA, ACA II, ASMA, or ANA<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.8pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">IgG4-positive plasma cells in tissue<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 89.8pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"120\">\n<p class=\"MsoNormal\">Chronic sialadenitis with IgG4-positive plasma cells<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"MsoNormal\">Criteria were modified from those of the Japan Pancreas Society. ERCP denotes endoscopic retrograde cholangiopancreatography, MRCP magnetic resonance cholangiopancreatography, ALA antilactoferrin antibody, ACA II anti-carbonic anhydrase II antibody, ASMA anti-smooth-muscle antibody, and ANA antinuclear body.<\/p>\n<p class=\"MsoNormal\">The presence of tissue IgG4-positive cells is not necessarily abnormal, but an increased number of infiltrating IgG4-positive plasma cells is abnormal.<\/p>\n<p class=\"MsoNormal\"><strong> Diagnostic Criteria for Autoimmune Pancreatitis in Asan Medical Center<\/strong><\/p>\n<p class=\"MsoNormal\"><strong>Inclusion Criteria<\/strong><\/p>\n<p class=\"MsoNormal\">Criterion I. Pancreatic imaging (essential)<\/p>\n<ol>\n<li>CT: Diffuse enlargement (swelling) of pancreas, and<\/li>\n<li>ERCP: Diffuse or segmental irregular narrowing of main pancreatic duct<\/li>\n<\/ol>\n<p class=\"MsoNormal\">Criterion II. Laboratory findings<\/p>\n<ol>\n<li>elevated levels of IgG and\/or IgG4. or<\/li>\n<li>detected autoantibodies<\/li>\n<\/ol>\n<p class=\"MsoNormal\">Criterion III. Histopathologic findings: Fibrosis and lymphoplasmacytic infiltration<\/p>\n<p class=\"MsoNormal\">Criterion IV. Response to the steroid<\/p>\n<p class=\"MsoNormal\">Definite diagnosis: Criterion I and any of criterion II-IV<\/p>\n<p class=\"MsoNormal\"><strong> Diagnostic Criteria for Autoimmune Pancreatitis by Italian Group<\/strong><\/p>\n<p class=\"MsoNormal\"><strong>Diagnostic criteria<\/strong><\/p>\n<ol>\n<li>Histology and cytology<\/li>\n<li>The association with other postulated autoimmune disease<\/li>\n<li>Response to the steroid therapy<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>References:<\/strong><\/p>\n<ol>\n<li class=\"MsoNormal\">Japan Pancreas Society. Diagnostic criteria for autoimmune pancreatitis. J Jpn Pancreas Soc 2002;17:585-7.<\/li>\n<li class=\"MsoNormal\">Finkelberg DL, Sahani D, Deshpande V, Brugge WR. Autoimmune pancreatitis. N Engl J Med. 2006 Dec 21;355(25):2670-6. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17182992\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li class=\"MsoNormal\">Kim KP, Kim MH, Kim JC, Lee SS, Seo DW, Lee SK. Diagnostic criteria for autoimmune chronic pancreatitis revisited. World J Gastroenterol. 2006 Apr 28;12(16):2487-96. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16688792\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<\/div>\n<p>&nbsp;<\/p>\n<p>Created: Jan 07, 2006<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[53],"tags":[250,251,16,15,14,13,1413,1648,1647,1008,1646,1649],"class_list":["post-2538","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-autoimmune","tag-autoinmune","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-gastroenterology","tag-japan","tag-pancreas","tag-pancreatitis","tag-rheumatoilogy","tag-society"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2538","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2538"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2538\/revisions"}],"predecessor-version":[{"id":9108,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2538\/revisions\/9108"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2538"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2538"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}