browbeat 发表于 2025-3-27 00:41:04
Imaging: US and CT,ls, storiform fibrosis, obliterative phlebitis, and mild to moderate eosinophilia . IgG4-related sclerosing cholangitis (IgG4-SC) is a biliary lesion associated with IgG4-RD, which is frequently seen in elderly men, characterized by obstructive jaundice owing to a bile duct stricture and respondsgerontocracy 发表于 2025-3-27 04:01:18
http://reply.papertrans.cn/47/4611/461100/461100_32.pngBURSA 发表于 2025-3-27 09:22:12
http://reply.papertrans.cn/47/4611/461100/461100_33.pngOrnithologist 发表于 2025-3-27 12:43:49
Imaging: EUS and IDUS, often associated with type 1 AIP. Bile duct wall thickening is considered the EUS finding of IgG4-SC with type 1 AIP. Cholangiocarcinoma (CCA) and primary sclerosing cholangitis (PSC) are important diagnoses that should be differentiated from IgG4-SC. IDUS findings of non-stricture bile duct lesion两种语言 发表于 2025-3-27 16:07:29
http://reply.papertrans.cn/47/4611/461100/461100_35.pngOnerous 发表于 2025-3-27 21:16:40
http://reply.papertrans.cn/47/4611/461100/461100_36.pngClumsy 发表于 2025-3-28 01:32:28
Tissue Acquisition for Histologic Diagnosis,extensive fibrosis in the bile duct wall. Histopathologic examination is always necessary for the definite diagnosis of IgG4-SC if there are no other organ involvements such as type 1 AIP, IgG4-related sialadenits or retroperitoneal fibrosis. Endobiliary biopsy by ERC is a standard technique for tisEviction 发表于 2025-3-28 06:09:14
Other Organ Involvements,st proposed as a systemic disease in 2003 by Kamisawa et al. following the recognition that a high percentage of patients with autoimmune pancreatitis (AIP) had extrapancreatic manifestations that shared similar histopathological features consisting of dense infiltration of IgG4-positive plasma cellmastopexy 发表于 2025-3-28 10:13:18
http://reply.papertrans.cn/47/4611/461100/461100_39.png信条 发表于 2025-3-28 11:55:54
Treatment: Immunomodulatory Drugs, cholangiopathy . IgG4-related SC, a distinctive type of cholangitis of unknown etiology, is characterized by increased serum levels of IgG4 and massive infiltration of IgG4-positive plasma cells with extensive fibrosis in the wall of the bile duct. Its cholangiographic features are similar to th