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Published on: June 28, 2021
Acute recurrent pancreatitis: an autoimmune disease?
1Department of Internal Medicine and Gastroenterology, Sant'Orsola-Malpighi Hospital, Via Massarenti, 9, Bologna 40138, Italy. raffaele.pezzilli@aosp.bo.it
Autoimmune pancreatitis (AIP) can cause recurrent acute pancreatitis pain, even in cases with unknown causes. Recognizing AIP is crucial for accurate diagnosis and management of unexplained pancreatitis episodes.
Area of Science:
- Gastroenterology
- Immunology
Background:
- Autoimmune pancreatitis (AIP) is a chronic inflammatory condition with immune system dysregulation.
- Recurrent acute pancreatitis of unknown etiology presents a diagnostic challenge.
Purpose of the Study:
- To review the clinical characteristics of autoimmune pancreatitis.
- To evaluate the potential of AIP in patients with recurrent idiopathic pancreatitis.
Main Methods:
- Literature search on autoimmune pancreatitis and idiopathic pancreatitis.
- Analysis of clinical features associated with recurrent pain in AIP patients.
Main Results:
- Autoimmune pancreatitis should be considered in patients experiencing recurrent acute pancreatitis pain without a clear cause.
- While seemingly rare, increased awareness may lead to more frequent diagnoses.
Conclusions:
- Considering autoimmune pancreatitis is vital for patients with unexplained recurrent acute pancreatitis.
- Further research and increased clinical knowledge will improve the diagnosis of AIP.
Related Concept Videos
Chronic Pancreatitis I: Introduction
Chronic Pancreatitis I: Introduction
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Chronic Pancreatitis II: Pathophysiology
Acute Pancreatitis I: Introduction
Acute Pancreatitis I: Introduction
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute Pancreatitis II: Pathophysiology

