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Autoimmune pancreatitis in children: A single centre experience in diagnosis, management and long term follow up

Research output: Contribution to journalArticle

Huey Miin Lee, Maesha Deheragoda, Phil Harrison, John Devlin, Maria Sellars, Nedim Hadzic, Anil Dhawan, Tassos Grammatikopoulos

Original languageEnglish
JournalPANCREATOLOGY
Early online date14 Nov 2018
DOIs
Publication statusE-pub ahead of print - 14 Nov 2018

King's Authors

Abstract

Objectives Autoimmune pancreatitis (AIP) is a rare form of chronic pancreatitis and data is limited in the paediatric population. We aim to describe in detail a cohort of paediatric patients with AIP including their presentation, investigations that led to their diagnosis, management and long-term follow up. Methods We retrospectively reviewed the data of 6 patients diagnosed with AIP over an 10-year period. Data including demographics, clinical information, laboratory parameters, serological markers, radiological and histological findings as well as longitudinal follow up were collected. Results Out of the six patients, one was diagnosed with definitive Type 1 AIP, two with definitive Type 2 AIP, two with probable Type 2 AIP and one with suspected Type 2 AIP. Median time of follow up was 3.9 years (range 2.6–10.1). 4 patients had pancreatic biopsies with 2 of these patients showing granulocytic epithelial lesions (GELs). 4 patients received steroids and two of them developed ulcerative colitis. Azathioprine was commenced on the patient with Type 1 AIP to help her wean off steroids that caused significant side effects on her. Only two patients developed exocrine insufficiency. Conclusions The long term follow up of our cohort of paediatric AIP shows good prognosis. More follow up data on patients with AIP is needed to help further characterize and define the disease.

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