Autoimmune pancreatitis and IgG4-related sclerosing cholangitis.

Abstract:

PURPOSE OF REVIEW:Autoimmune pancreatitis (AIP) is a peculiar type of pancreatitis with a presumed autoimmune etiology. AIP is frequently associated with stenosis of the bile duct in the form of IgG4-related sclerosing cholangitis. This article reviews recent advances in clinicopathological findings for AIP and IgG4-related sclerosing cholangitis. RECENT FINDINGS:AIP is currently diagnosed based on characteristic radiological findings (irregular narrowing of the main pancreatic duct and enlargement of the pancreas) in combination with serological findings (elevated serum IgG4 and presence of autoantibodies) and histopathological findings (dense infiltration of IgG4-positive plasma cells and lymphocytes with fibrosis and obliterative phlebitis in the pancreas). Other clinical characteristics include preponderance toward elderly men, common initial symptoms of obstructive jaundice, and favorable response to steroid therapy. Differentiation of AIP from pancreatic cancer is crucial. As AIP is frequently associated with various sclerosing extrapancreatic lesions showing the same peculiar histological findings seen in the pancreas, AIP is currently considered to represent a pancreatic manifestation of IgG4-related sclerosing disease. Considering the age of onset, associated diseases, cholangiography, serum IgG4 levels, and steroid responsiveness, IgG4-related sclerosing cholangitis differs from primary sclerosing cholangitis. SUMMARY:AIP and associated extrapancreatic lesions are considered to represent clinical manifestations of IgG4-related sclerosing disease.

journal_name

Curr Opin Rheumatol

authors

Takuma K,Kamisawa T,Igarashi Y

doi

10.1097/BOR.0b013e3283412f60

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

80-7

issue

1

eissn

1040-8711

issn

1531-6963

pii

00002281-201101000-00015

journal_volume

23

pub_type

杂志文章,评审
  • Immunosuppressive drug therapy.

    abstract::Interstitial lung disease frequently complicates rheumatic disorders, especially polymyositis-dermatomyositis, rheumatoid arthritis, systemic sclerosis, and mixed connective tissue disease. In this article, we review the current data supporting the use of azathioprine, cyclophosphamide, chlorambucil, cyclosporine, and...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199405000-00004

    authors: McCune WJ,Vallance DK,Lynch JP 3rd

    更新日期:1994-05-01 00:00:00

  • Achilles tendon injuries.

    abstract::The Achilles tendon is the strongest tendon in the human body. Because most Achilles tendon injuries take place in sports and there has been an common upsurge in sporting activities, the number and incidence of the Achilles tendon overuse injuries and complete ruptures have increased in the industrialized countries du...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200103000-00009

    authors: Järvinen TA,Kannus P,Paavola M,Järvinen TL,Józsa L,Järvinen M

    更新日期:2001-03-01 00:00:00

  • Antisynthetase syndrome pathogenesis: knowledge and uncertainties.

    abstract:PURPOSE OF REVIEW:Antisynthetase syndrome (ASyS) is an acquired myopathy characterized by the presence of myositis-specific autoantibodies directed against tRNA-synthetases. ASyS is potentially life threatening due to lung involvement and treatment remains a challenge to date. With symptoms not limited to muscles but a...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000555

    authors: Gallay L,Gayed C,Hervier B

    更新日期:2018-11-01 00:00:00

  • Gene expression profiling in pediatric rheumatic disease: what have we learned? What can we learn?

    abstract:PURPOSE OF THIS REVIEW:Gene expression profiling is emerging as a promising methodology in pediatric rheumatology research. There is considerable interest in using this technology as the basis for diagnostic assays. This review will summarize the new knowledge. RECENT FINDINGS:Most gene expression studies of children ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/01.bor.0000171212.42252.d1

    authors: Jarvis JN

    更新日期:2005-09-01 00:00:00

  • Effectiveness of exercise in management of fibromyalgia.

    abstract:PURPOSE OF REVIEW:Exercise was established as an integral part of the nonpharmacological treatment of fibromyalgia approximately 20 years ago. Since then many studies have investigated the effects of exercise-either alone or in combination with other interventions. This review will discuss the benefits of exercise alon...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200403000-00012

    authors: Gowans SE,deHueck A

    更新日期:2004-03-01 00:00:00

  • Childhood systemic sclerosis.

    abstract:PURPOSE OF REVIEW:Juvenile systemic sclerosis has a variety of clinical manifestations, sometimes different from the adult form. Early recognition, proper classification and treatment may improve the long-term outcome. RECENT FINDINGS:A large multicenter study coordinated by the Pediatric Rheumatology European Society...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e3282f01625

    authors: Zulian F,Martini G

    更新日期:2007-11-01 00:00:00

  • Treatment of juvenile rheumatoid arthritis.

    abstract::New information on the treatment of juvenile rheumatoid arthritis emphasizes more aggressive control of arthritis, particularly the use of methotrexate, both in low- and higher-dose regimens. Information concerning drug toxicity, including that of the nonsteroidal anti-inflammatory drugs, second-line agents, and metho...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199305050-00011

    authors: Emery HM

    更新日期:1993-09-01 00:00:00

  • Bacterial arthritis.

    abstract::Acute bacterial arthritis continues to be a common occurrence, and despite improved treatment regimens, the prognosis has not improved significantly over the past 20 years. During the past year, the emergence of unique predisposing factors for bacterial arthritis, including prosthetic joints and HIV infection, were em...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199407000-00008

    authors: Goldenberg DL

    更新日期:1994-07-01 00:00:00

  • Immune checkpoint inhibitors and vasculitis.

    abstract:PURPOSE OF REVIEW:Clinical use of immune checkpoint inhibitor (ICI) therapy has revolutionized the therapeutic landscape of cancer. By activating the immune system using monoclonal anti-CTLA-4 and PD(L)-1 antibodies, remission can be induced in previously terminal cancers. However, these breakthroughs come at a price. ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000672

    authors: Boland P,Heath J,Sandigursky S

    更新日期:2020-01-01 00:00:00

  • Murine animal models of systemic sclerosis.

    abstract::Animal models of systemic connective tissue diseases have provided valuable insights into the causative mechanisms and the pathogenesis of these diseases, and have provided the means to test potentially useful therapeutic interventions. Although numerous animal models for systemic sclerosis (SSc) have been described, ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200211000-00008

    authors: Jimenez SA,Christner PJ

    更新日期:2002-11-01 00:00:00

  • Epidemiology of the rheumatic diseases.

    abstract::Epidemiologic studies of rheumatic diseases can be broadly divided into those that describe the occurrence of specific disorders, those that attempt to quantify the role of putative risk factors for disease occurrence, and those that define the outcome and factors associated with it. Studies in this area have tended t...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199903000-00002

    authors: Rooney BK,Silman AJ

    更新日期:1999-03-01 00:00:00

  • Epigenetics in the pathogenesis of systemic lupus erythematosus.

    abstract:PURPOSE OF REVIEW:There has been a tremendous interest to understand the mechanisms that regulate gene expression in autoimmunity and their effect on disease phenotypes by exploring different epigenetic mechanisms. In this review, we will introduce lupus epigenetics through reviewing historical key findings, then we wi...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e328364206f

    authors: Altorok N,Sawalha AH

    更新日期:2013-09-01 00:00:00

  • Role of major histocompatibility complex class I molecules in autoimmune myositis.

    abstract:PURPOSE OF REVIEW:Recent work has continued to clarify the role of major histocompatibility complex class I in the pathogenesis of autoimmune myositis. In the past year, several new observations have been made in this area. This review describes these findings and discusses their relevance to the pathogenesis of autoim...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/01.bor.0000179947.58271.9a

    authors: Nagaraju K

    更新日期:2005-11-01 00:00:00

  • Overlapping syndromes, undifferentiated connective tissue disease, and other fibrosing conditions.

    abstract::Connective tissue diseases (CTDs) frequently present with one or only a few symptoms, which does not allow prompt diagnosis. Raynaud's phenomenon is one of those symptoms. However, only a minority of patients who present with Raynaud's phenomenon develop a CTD. Prognostic factors for the future development of CTD in s...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199511000-00017

    authors: Kallenberg CG

    更新日期:1995-11-01 00:00:00

  • Shoulder injuries in the athlete.

    abstract::Shoulder injuries are common in the athletic population. Injuries can be a result of repetitive overhead use or from direct trauma. Common injury sites include the rotator cuff, glenohumeral joint, acromioclavicular joint, biceps tendon, scapulothoracic articulation, and sternoclavicular joint. The identification, phy...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200203000-00012

    authors: Ong BC,Sekiya JK,Rodosky MW

    更新日期:2002-03-01 00:00:00

  • Which nonautoimmune myopathies are most frequently misdiagnosed as myositis?

    abstract:PURPOSE OF REVIEW:To discuss the spectrum of nonautoimmune myopathies that may be misdiagnosed as autoimmune myopathy. RECENT FINDINGS:Inherited myopathies, such as dysferlinopathy, calpainopathy, and facioscapulohumeral dystrophy may be misdiagnosed as autoimmune myopathy, especially when they have inflammatory muscl...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000441

    authors: Mammen AL

    更新日期:2017-11-01 00:00:00

  • Eosinophilic granulomatosis with polyangiitis (Churg-Strauss): evolutions in classification, etiopathogenesis, assessment and management.

    abstract:PURPOSE OF REVIEW:Eosinophilic granulomatosis with polyangiitis (EGPA) (Churg-Strauss syndrome) is a peculiar hybrid condition of a systemic antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis and a hypereosinophilic disorder with frequent lung involvement that occurs in people with asthma. This review foc...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000015

    authors: Mahr A,Moosig F,Neumann T,Szczeklik W,Taillé C,Vaglio A,Zwerina J

    更新日期:2014-01-01 00:00:00

  • Long-term treatment strategies for postmenopausal osteoporosis.

    abstract:PURPOSE OF REVIEW:Osteoporosis guidelines do not usually provide specific recommendations regarding what medication is most appropriate for individual patients. Generic oral bisphosphonates are often considered first-line treatment for osteoporosis, but treatment duration is limited, based on potential long-term safety...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000509

    authors: Cosman F

    更新日期:2018-07-01 00:00:00

  • Psoriatic arthritis.

    abstract::Recent population-based studies have examined the incidence, prevalence, and survival rates of patients with psoriatic arthritis (PsA). Although there are still no completely satisfactory diagnostic criteria for PsA, Moll and Wright's criteria--although not a true classification/diagnostic scheme--are the most used. T...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199807000-00004

    authors: Salvarani C,Olivieri I,Cantini F,Macchioni L,Boiardi L

    更新日期:1998-07-01 00:00:00

  • Effects of glucocorticoids on inflammation and arthritis.

    abstract:PURPOSE OF REVIEW:Glucocorticoids are used in the treatment of most rheumatic diseases, and are used chronically in up to 50% of cases of rheumatoid arthritis. The frequency of their use has in the past been incompletely supported by trial evidence of their benefit and by incomplete understanding of their mechanisms of...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e32805e87d0

    authors: Morand EF

    更新日期:2007-05-01 00:00:00

  • Skeletal muscle disease in rheumatoid arthritis: the center of cardiometabolic comorbidities?

    abstract:PURPOSE OF REVIEW:Despite its critical roles in body movement, structure, and metabolism, skeletal muscle remains underappreciated in the context of rheumatoid arthritis. In rheumatoid arthritis, chronic inflammation, physical inactivity, and medication toxicities impair skeletal muscle. These skeletal muscle alteratio...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000697

    authors: Andonian BJ,Huffman KM

    更新日期:2020-05-01 00:00:00

  • Comorbidities in gout and hyperuricemia: causality or epiphenomena?

    abstract:PURPOSE OF REVIEW:To review advances in the understanding of potentially causal relationships between gout, hyperuricemia and comorbidities. RECENT FINDINGS:Observational studies reveal 4-5 comorbidity clusters in gout patients. There tend to be gout alone, gout with chronic kidney disease and gout with other metaboli...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000691

    authors: Sumpter NA,Saag KG,Reynolds RJ,Merriman TR

    更新日期:2020-03-01 00:00:00

  • Genetics of vasculitis.

    abstract:PURPOSE OF REVIEW:We aim to give an overview of the recent progress in the knowledge of the genetic component of vasculitides. RECENT FINDINGS:Using a state-of-the-art imputation method to analyse the major histocompatibility complex (MHC) region, Ombrello and colleagues narrowed down the association between human leu...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000124

    authors: Carmona FD,Martín J,González-Gay MA

    更新日期:2015-01-01 00:00:00

  • Pathogenesis of Sjögren's syndrome and therapeutic consequences.

    abstract:PURPOSE OF REVIEW:To summarize recent findings on new pathogenic mechanisms of interaction between genetic and environmental factors and between innate and adaptive immunity in primary Sjögren's syndrome and to reconcile pathogenesis and treatment by focusing on the crucial pathogenic steps that could be targeted by em...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e32833c36c5

    authors: Mariette X,Gottenberg JE

    更新日期:2010-09-01 00:00:00

  • Social and economic aspects of osteoporosis.

    abstract::The first part of this article draws together descriptive studies on the direct medical costs of osteoporosis. The second part is devoted to economic evaluation of 1) osteoporosis treatment on the basis of clinical criteria and 2) preventive strategies, some of them including bone mineral density screening. These anal...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199807000-00015

    authors: Joel ME,Le Gales C

    更新日期:1998-07-01 00:00:00

  • Apoptosis in systemic lupus erythematosus.

    abstract::Systemic lupus erythematosus is a complex, multisystem autoimmune disease characterized by production of high-titer autoantibodies directed against ubiquitously expressed self-antigens. Autoantigens in systemic lupus erythematosus are highly diverse in terms of structure and location in control cells, but become clust...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200309000-00006

    authors: White S,Rosen A

    更新日期:2003-09-01 00:00:00

  • Treatment of systemic sclerosis.

    abstract::The last few years have brought a resurgence in interest in managing systemic sclerosis. In the past year, there have been reports of small series of patients and several well-designed, double-blind, controlled trials. Treatment has been directed at a variety of potential pathogenic mechanisms. Stanazol, iloprost, pla...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199112000-00014

    authors: Steen V

    更新日期:1991-12-01 00:00:00

  • Infections and systemic vasculitis.

    abstract::Bacterial infections can clinically mimic a primary vasculitic syndrome and can directly cause a vasculitis that may respond to prompt recognition and treatment of the infection. Increasing direct and indirect evidence is establishing links between certain infections and vasculopathies, including aortitis, atheroscler...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199801000-00008

    authors: Mandell BF,Calabrese LH

    更新日期:1998-01-01 00:00:00

  • The novel interleukin-1 cytokine family members in inflammatory diseases.

    abstract:PURPOSE OF REVIEW:This review provides an update on the new interleukin-1 (IL-1) cytokine family members in inflammatory diseases with focus on recent findings concerning the family members IL-36, IL-37, and IL-38 and their different expression patterns. RECENT FINDINGS:The IL-1 cytokines are known to be involved in m...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000361

    authors: Hahn M,Frey S,Hueber AJ

    更新日期:2017-03-01 00:00:00

  • Cryoglobulinemic vasculitis.

    abstract:PURPOSE OF REVIEW:Cryoglobulinemic vasculitis is an immune-complex-mediated systemic vasculitis involving small-medium-sized vessels. A causative role of hepatitis C virus in over 80% patients has been definitively established, with heterogeneous geographical distribution. This review focuses on recent etiopathogenetic...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/01.bor.0000198002.42826.c2

    authors: Ferri C,Mascia MT

    更新日期:2006-01-01 00:00:00