A Better Understanding of Pediatric Autoimmune Pancreatitis: Over 13 Years of Experience

Objectives: Pediatric autoimmune pancreatitis (P-AIP) is an uncommon disease whose diagnosis requires strong clinical suspicion. Late diagno-sis increases morbidity. We aimed to compare the usefulness of the 2011 International Consensus Diagnostic Criteria (ICDC) for Autoimmune Pan-creatitis with th...

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Detalhes bibliográficos
Autores: García Tirado D, Molera Busoms C, Álvarez Beltrán M, Mercadal-Hally M, Vaquero Raya EC, Meavilla Oliva SM, Martínez Osorio JM, Barber Martínez I, Cárdenas Vásquez A, Segarra Canton O, Martin de Carpi FJ
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Recursos:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p22982
Acesso em linha:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=22982
Access Level:acceso abierto
Palavra-chave:adolescent
AIP
autoimmune pancreatitis
child
chronic
Descrição
Resumo:Objectives: Pediatric autoimmune pancreatitis (P-AIP) is an uncommon disease whose diagnosis requires strong clinical suspicion. Late diagno-sis increases morbidity. We aimed to compare the usefulness of the 2011 International Consensus Diagnostic Criteria (ICDC) for Autoimmune Pan-creatitis with the 2018 INSPPIRE (INternational Study Group of Pediatric Pancreatitis: In search for a cuRE) criteria.Methods: We retrospectively analyzed demographics and clinical, labora-tory, radiological, and histological findings at diagnosis and during long-term follow-up in children diagnosed with AIP in 2 tertiary hospitals between 2008 and 2021.Results: We included 11 patients [6 girls; median age at diagnosis, 12.5 (range 2.8-15.7) years]. The most common symptom was abdominal pain. Pancreatic enzymes were elevated in 10 patients, and serum immunoglobu-lin G4 was elevated in 1 . Magnetic resonance imaging showed enlargement of the pancreatic head in 10 patients and general pancreatic enlargement in 1. Pancreatic and papilla tissue were obtained from 9 patients. All patients received corticosteroids (prednisolone), and 4 also received azathioprine.According to the ICDC, all patients were classified as probable or non-otherwise specified AIP. According to INSPPIRE criteria, all patients were classified as AIP. Using the INSPPIRE criteria would have avoided biopsies in 6 patients who responded well to corticosteroids.Conclusions: The INSPPIRE criteria are useful. Using the ICDC in pedi-atric patients can delay diagnosis and result in unnecessary invasive tests.