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Volume 356:1586-1587 April 12, 2007 Number 15
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Autoimmune Pancreatitis

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by Finkelberg, D. L.
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To the Editor: Finkelberg et al. (Dec. 21 issue)1 review the pathogenesis, diagnosis, and management of autoimmune pancreatitis. We treated a 67-year-old man with a diagnosis of autoimmune pancreatitis made on the basis of computed tomography (CT), endoscopic ultrasonography and biopsy, and elevated IgG levels (including IgG4). The patient had worsening fatigue and generalized weakness. Laboratory studies revealed low levels of thyroid-stimulating hormone, free thyroxine, corticotropin, cortisol, follicle-stimulating hormone, luteinizing hormone, growth hormone, insulin-like growth factor 1, and free testosterone, with a normal prolactin level. Magnetic resonance imaging (MRI) of the pituitary, performed because of the patient's panhypopituitarism, revealed thickening . . . [Full Text of this Article]



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