6.2 Autoimmune Diseases

6.2 Autoimmune Diseases

In the last 10 years it has been reported an increasing number of cases of autoimmune pancreatitis(AIP)in all countries around the world(Pearson et al.2003);the frequency of autoimmune pancreatitis will probably increase in the next few years.Autoimmune pancreatitis is clinically characterized by obstructive jaundice and,histologically,by a lymphoplasmacytic infiltrate with fibrosis;from a therapeutic point of view,there is a dramatic response to corticosteroid therapy.Several classifications of autoimmune pancreatitis have been proposed(Fantini et al.2007).Recently,two distinct diseases have been identified:one is called type 1 and the other one,type 2 AIP(Hart et al.2015).Type 1 AIP is the pancreatic manifestation of immunoglobulin G4-related disease whereas type 2 AIP is less commonly recognized has no biomarker and may be associated with inflammatory bowel disease in about 1/4 of patients(Hart et al.2015).(https://www.daowen.com)