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Int J Rheumatol. 2013;2013:465428. doi: 10.1155/2013/465428. Epub 2013 Oct 30.

Capability and limitations of recent diagnostic criteria for autoimmune pancreatitis.

International journal of rheumatology

Taku Tabata, Terumi Kamisawa, Sawako Kuruma, Kazuro Chiba, Susumu Iwasaki, Go Kuwata, Takashi Fujiwara, Hideto Egashira, Satomi Koizumi, Yuka Endo, Koichi Koizumi, Junko Fujiwara, Takeo Arakawa, Kumiko Momma

Affiliations

  1. Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo 113-8677, Japan.

PMID: 24288540 PMCID: PMC3833014 DOI: 10.1155/2013/465428

Abstract

Because a diagnostic serological marker is unavailable, autoimmune pancreatitis (AIP) is diagnosed based on unique features. The diagnostic capabilities and potential limitations of four sets of diagnostic criteria for AIP (Japanese diagnostic criteria 2006 and 2011, Asian diagnostic criteria, and international consensus diagnostic criteria (ICDC)) were compared among 85 patients who were diagnosed AIP according to at least one of the four sets. AIP was diagnosed in 87%, 95%, 95%, and 95% of the patients according to the Japanese 2006, Asian, ICDC, and Japanese 2011 criteria, respectively. The ICDC can diagnose types 1 and 2 AIP independently and show high sensitivity for diagnosis of AIP. However, as the ICDC are rather complex, diagnostic criteria for AIP should perhaps be revised and tailored to each country based on the ICDC.

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