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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

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A 2-Week Steroid Trial for Differentiating Isolated IgG4-Related Sclerosing Cholangitis from Cholangiocarcinoma
Authors
이보현문성훈민경환박지원임현김성은강호석김종혁
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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