Document Detail


A case report of autoimmune pancreatitis accompanied with rapidly developing hyperglycemia and hypertension in a chronic hemodialysis patient.
MedLine Citation:
PMID:  17381537     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An 81-year-old man, with chronic renal failure due to chronic glomerulonephritis on maintenance hemodialysis (HD) for 4.5 years, was admitted to our hospital because of rapidly developing hyperglycemia and hypertension. He had been under good control on HD with no history of hyperglycemia. One month prior to admission he felt thirsty and generally fatigued, but did not inform medical staff of his symptoms. We diagnosed him as suffering from autoimmune pancreatitis (AIMP) associated with secondary diabetes mellitus, according to the typical feature of AIMP on endoscopic retrograde cholangiopancreatography and an elevated level of serum immunoglobulin G4 (IgG4). He was treated with insulin and a corticosteroid, following which, the diffuse narrowing of the main pancreatic duct improved and his serum IgG4 level reduced. AIMP is a rare but important complication in HD patients that requires prompt diagnosis and treatment; we are therefore reporting on a unique complication in a chronic HD patient.
Authors:
Kentaro Wada; Toshio Shinoda; Hiroshi Yoshimoto
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy     Volume:  11     ISSN:  1744-9979     ISO Abbreviation:  Ther Apher Dial     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-03-26     Completed Date:  2007-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101181252     Medline TA:  Ther Apher Dial     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  150-4     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Division of Nephrology and Dialysis, Social Insurance Chuo General Hospital, Shinjuku-Ku, Tokyo, Japan. kyw620@hotmail.co.jp
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Autoimmune Diseases*
Cholangiopancreatography, Endoscopic Retrograde
Diabetes Complications
Glomerulonephritis / complications
Glucocorticoids / therapeutic use
Humans
Hyperglycemia / therapy*
Hypertension / therapy*
Hypoglycemic Agents / therapeutic use
Immunoglobulin G / blood
Insulin / therapeutic use
Kidney Failure, Chronic / etiology*
Male
Pancreatitis / etiology*,  pathology,  radiography
Prednisolone / therapeutic use
Renal Dialysis*
Chemical
Reg. No./Substance:
0/Glucocorticoids; 0/Hypoglycemic Agents; 0/Immunoglobulin G; 11061-68-0/Insulin; 50-24-8/Prednisolone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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