A Case Report of Autoimmune Pancreatitis Accompanied With Rapidly Developing Hyperglycemia and Hypertension in a Chronic Hemodialysis Patient
Version of Record online: 22 MAR 2007
Therapeutic Apheresis and Dialysis
Volume 11, Issue 2, pages 150–154, April 2007
How to Cite
Wada, K., Shinoda, T. and Yoshimoto, H. (2007), A Case Report of Autoimmune Pancreatitis Accompanied With Rapidly Developing Hyperglycemia and Hypertension in a Chronic Hemodialysis Patient. Therapeutic Apheresis and Dialysis, 11: 150–154. doi: 10.1111/j.1744-9987.2007.00429.x
- Issue online: 22 MAR 2007
- Version of Record online: 22 MAR 2007
- Received November 2005; revised March 2006.
- Autoimmune pancreatitis;
Abstract: An 81-year-old man, with chronic renal failure due to chronic glomerulonephritis on maintenance hemodialysis (HD) for 4.5 years, was admitted to our hospital because of rapidly developing hyperglycemia and hypertension. He had been under good control on HD with no history of hyperglycemia. One month prior to admission he felt thirsty and generally fatigued, but did not inform medical staff of his symptoms. We diagnosed him as suffering from autoimmune pancreatitis (AIMP) associated with secondary diabetes mellitus, according to the typical feature of AIMP on endoscopic retrograde cholangiopancreatography and an elevated level of serum immunoglobulin G4 (IgG4). He was treated with insulin and a corticosteroid, following which, the diffuse narrowing of the main pancreatic duct improved and his serum IgG4 level reduced. AIMP is a rare but important complication in HD patients that requires prompt diagnosis and treatment; we are therefore reporting on a unique complication in a chronic HD patient.