2주간의 스테로이드 치료가 담관암과의 감별에 도움이 된 담관단독 침범 IgG4 연관 경화성 담관염open accessA 2-Week Steroid Trial for Differentiating Isolated IgG4-Related Sclerosing Cholangitis from Cholangiocarcinoma
- Other Titles
- A 2-Week Steroid Trial for Differentiating Isolated IgG4-Related Sclerosing Cholangitis from Cholangiocarcinoma
- Authors
- 이보현; 문성훈; 민경환; 박지원; 임현; 김성은; 강호석; 김종혁
- Issue Date
- Jul-2018
- Publisher
- 대한췌담도학회
- Keywords
- Immunoglobulin G4; Sclerosing cholangitis; Steroid; Cholangiocarcinoma
- Citation
- 대한췌담도학회지, v.23, no.3, pp.127 - 133
- Indexed
- KCI
- Journal Title
- 대한췌담도학회지
- Volume
- 23
- Number
- 3
- Start Page
- 127
- End Page
- 133
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/149673
- DOI
- 10.15279/kpba.2018.23.3.127
- ISSN
- 1976-3573
- Abstract
- Immunoglobulin G4-related sclerosing cholangitis (IgG4-SC) is rare disease which is steroid-responsive and often associated with IgG4 related systemic disease such as autoimmune pancreatitis. It is characterized by increased serum IgG4 and IgG4-positive lymphoplasmacytic infiltration in bile ducts. It is often difficult to distinguish IgG4-SC to hilar cholangiocarcinoma if it manifests as an isolated bile duct. We report a case of 79-year-old woman with IgG4-SC which was difficult to distinguish hilar cholangiocarcinoma due to similar clinical and radiologic findings, showing good therapeutic effect after a 2-week steroid trial.
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