Korean J Gastroenterol.  2008 Dec;52(6):399-403.

A Case of Systemic Amyloidosis with Pancreatic Involvement Mimicking Autoimmune Pancreatitis

Affiliations
  • 1Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. gudwns21@medimail.co.kr

Abstract

Systemic amyloidosis is a disorder characterized by extracellular deposition of amyloid in various organs and tissues including the kidney, heart, and liver. However, pancreatic involvement is rare, and has not been reported in Korea. Systemic amyloisosis involving pancreas needs to be differentiated from several pancreatic diseases because of diffuse pancreatic enlargement and partial stricture or obstruction of main pancreatic duct. Recently, we experienced a 60-year old man who was suspected as autoimmune pancreatitis or infiltrative disorders on imaging studies, and finally diagnosed as systemic amyloidosis involving pancreas and liver on biopsy examination. We report the case with review of the relevant literatures.

Keyword

Systemic amyloidosis; Pancreatic involvement; Autoimmune pancreatitis

MeSH Terms

Amyloidosis/*diagnosis/pathology/radiography
Autoimmune Diseases/diagnosis
Cholangiopancreatography, Endoscopic Retrograde
Diagnosis, Differential
Humans
Male
Middle Aged
Pancreatic Diseases/*diagnosis
Pancreatitis/diagnosis/immunology/pathology
Tomography, X-Ray Computed
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