Ty -jour t1-自身免疫性胰腺炎患者的中央气道狭窄JF-欧洲呼吸杂志,M.Au -Yamamoto,H。Au -Tsushima,K。au -Tanabe,T。au -yokoyama,T。au -Hamano -H.Au -Kawa -Kawa,S。au -uehara,t. au -t. au -Honda,T。慢性胰腺炎的特征是具有高毛发免疫球蛋白(IG)G4浓度,涉及各种额外的胰腺病变。一名63岁的女性患有自身免疫性胰腺炎,抱怨咳嗽。胸部计算机断层扫描显示中央气道,肺肺门和纵隔淋巴结肿胀的不规则狭窄,以及支气管血管束的明显厚度。支气管镜检查表明,气管狭窄不规则,并伴有骨质粘膜和大量的血管。肺肺癌和纵隔淋巴结肿胀,中央气道狭窄和支气管镜检查非常类似于结节病。支气管活检标本表现出具有纤维化的浆细胞,淋巴细胞和嗜酸性粒细胞的弥漫性浸润。免疫染色显示几个IgG4阳性浆细胞的浸润。用口服泼尼松龙以1 mg·kg -1·第1天治疗胰腺病变。 A month later, the lung lesions, including central airway stenosis, lung hilar and mediastinal lymph node swelling, and bronchovascular bundle thickness, had dramatically improved along with improvement of pancreatitis, thus indicating a close association between the two conditions. This is the first report of a patient with autoimmune pancreatitis showing central airway stenosis similar to that of sarcoidosis. ER -