Visual Field Deficit: A Rare Initial Symptom of Autoimmune Pancreatitis
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概要
- 論文の詳細を見る
An autoimmune pancreatitis (AIP) patient with metachronous and multiple extrapancreatic lesions is reported. Initial symptoms were proptosis, oculomotor deficits, and a visual field deficit of the left eye, and swelling of bilateral lacrimal glands. Swelling of the right salivary gland and elevated serum levels of hepatobiliary enzymes were detected. AIP associated with IgG4-related orbital pseudotumor, IgG4-related sclerosing dacryoadenitis and sialadenitis, and IgG4-related sclerosing cholangitis was diagnosed. All symptoms and lesions improved with steroid therapy. Although an orbital pseudotumor is a rare extrapancreatic lesion of AIP, we should know that AIP patients may describe unusual symptoms such as abnormal visual field.
著者
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Kamisawa Terumi
Department Of Internal Medicine Tokyo Metropolitan Komagome Hospital
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Egawa Naoto
Department Of Internal Medicine Tokyo Metropolitan Komagome Hospital
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Ozaki Noriko
Department Of Ophthalmology Nippon Medical School
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Takuma Kensuke
Department Of Gastroenterology And Hepatology Toho University Ohmori Medical Center
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Tabata Taku
Department Of Internal Medicine Tokyo Metropolitan Komagome Hospital
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Horiguchi Shin-ichiro
Department Of Pathology Tokyo Metropolitan Komagome Hospital
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Kamisawa Terumi
Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, Japan
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Ozaki Noriko
Department of Ophthalmology, Tokyo Metropolitan Komagome Hospital, Japan
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Inaba Yosihiko
Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, Japan
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Takuma Sanae
Department of Ophthalmology, Omori Medical Center, Toho University School of Medicine, Japan
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