Journal List > Korean J Pediatr Gastroenterol Nutr > v.10(2) > 1110197

Korean J Pediatr Gastroenterol Nutr. 2007 Sep;10(2):215-220. Korean.
Published online Sep 30, 2007.
Copyright © 2007 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
A Case of Autoimmune Chronic Pancreatitis in a Child
In Young Choi, So Hee Jin, Kyung Dan Choi, and Kyung Mo Kim*
Department of Pediatrics, Presbyterian Medical Center, Jeonju, Korea.
Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

We present a case of autoimmune chronic pancreatitis in a previously healthy child without any history of autoimmune disease. A 12-year-old boy was admitted to the hospital with abdominal pain. The serum amylase, lipase, and IgG levels were elevated and autoantibodies (antinuclear antibody, antineutrophil antibody) were detected. An abdominal CT (computed tomographic) scan revealed diffuse enlargement of the pancreas. ERCP (endoscopic retrograde cholangiopancreaticography) demonstrated an irregular stricture of the main pancreatic duct in the pancreas tail. After two years of oral steroid and immunosuppressive drug therapy, the clinical, laboratory and radiological findings were improved. The patient has been symptom-free for 18 months after the discontinuation of medication.

Keywords: Autoimmune pancreatitis; Child