自己免疫性膵炎ガイドライン2020を噛み砕く(診断までをイメージする)
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このガイドライン、ばっちり把握してます!って方、覚え方をコメントして欲しいです笑
文字多いし、診断基準もちょっと複雑だし、胆管炎や急性膵炎に比べると稀だし、ついつい敬遠してしまいます。そこで、自分にも覚えやすいように噛み砕くことに挑戦します。
(好中球による2型ではなく、本邦のAIPのほとんどを占めるリンパ球による1型についての記事になります)
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腹痛、黄疸、口渇、偶発的な画像所見などがきっかけですね。
ピンときたら採血、CT、ERCPなどで膵臓内外の特徴的な所見を探す。
怪しいけど確診じゃなければEUS-FNB。
それでも迷うなら2週間のステロイド反応性を画像で確認、ですね。
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