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Previous Volume 346:1919 June 13, 2002 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Autoimmune sclerosing pancreatitis has been reported to be associated with elevated IgG4 levels in Japanese patients.¹ It is unknown whether similar elevation in IgG4 levels is present in non-Japanese patients with this condition. Two patients have recently been identified in our institute with autoimmune sclerosing pancreatitis, and their IgG4 levels have been measured.

Patient 1 was a 49-year-old white man presenting with a nine-month history of intermittent attacks of epigastric pain, obstructive jaundice, and fever. Imaging studies showed a diffusely enlarged pancreas (on computed tomography), diffuse hypoechoic enlargement of the pancreas (on endoscopic ultrasonography), a long segment . . . [Full Text of this Article]

References

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• van der Vliet, H. J.J., Perenboom, R. M. (2004). Multiple Pseudotumors in IgG4-Associated Multifocal Systemic Fibrosis. ANN INTERN MED 141: 896-897 [Full Text]