Takahiro Nakazawa1, Terumi Kamisawa2, Kazuichi Okazaki3, Shigeyuki Kawa4, Susumu Tazuma5, Takayoshi Nishino6, Dai Inoue7, Itaru Naitoh1, Takayuki Watanabe8, Kenji Notohara9, Kensuke Kubota10, Hirotaka Ohara11, Atsushi Tanaka12, Hajime Takikawa12, Atsushi Masamune13, Tosiaki Unno14. 1. Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. 2. Department of Internal Medicine, Tokyo Metropolitan, Komagome Hospital, Tokyo, Japan. 3. Department of Internal Medicine, Kansai Medical University Kori Hospital, Neyagawa, Japan. 4. Department of Internal Medicine, Matsumoto Dental University, Shiojiri, Japan. 5. Department of General Internal, Medicine、Hiroshima University Graduate School of Biomedical & Health Science, Hiroshima, Japan. 6. Department of Gastroenterology, Tokyo Womens' Medical University Yachiyo Medical Center, Yachiyo, Japan. 7. Department of Radiology, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan. 8. Department of Medicine, Gastroenterology, Shinshu University, Matsumoto, Nagano, Japan. 9. Department of Anatomic Pathology, Kurashiki Central Hospital, Kurashiki, Japan. 10. Department of Endoscopy, Yokohama City University Hospital, Yokohama, Japan. 11. Department of Community-Based Medical Education, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. 12. Department of Medicine, Teikyo University School of Medicine, Tokyo, Japan. 13. Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan. 14. Division of Hepato-Biliary Pancreatic Surgery, Tohoku University Graduate School, of Medicine, Sendai, Japan.
Abstract
BACKGROUND: Several years have passed since the clinical diagnostic criteria for IgG4-related sclerosing cholangitis 2012 were published. New findings and knowledge have accumulated since then. METHODS: The Research Committees for IgG4-related Diseases and for Intractable Diseases of the Liver and Biliary Tract in association with the Ministry of Health, Labor and Welfare of Japan and the Japan Biliary Association, have established a working group consisting of researchers specializing in IgG4-SC and have drawn up new clinical diagnostic criteria for IgG4-SC 2020. RESULTS: The diagnosis of IgG4-SC is based on a combination of the following six criteria: (1) narrowing of the intra- or extrahepatic bile duct, (2) thickening of the bile duct wall, (3) serological findings, (4) pathological findings, (5) other organ involvement, and (6) effectiveness of steroid therapy. CONCLUSION: These new diagnostic criteria for IgG4-SC are useful in practice for general physicians and other non-specialists. This article is protected by copyright. All rights reserved.
BACKGROUND: Several years have passed since the clinical diagnostic criteria for IgG4-related sclerosing cholangitis 2012 were published. New findings and knowledge have accumulated since then. METHODS: The Research Committees for IgG4-related Diseases and for Intractable Diseases of the Liver and Biliary Tract in association with the Ministry of Health, Labor and Welfare of Japan and the Japan Biliary Association, have established a working group consisting of researchers specializing in IgG4-SC and have drawn up new clinical diagnostic criteria for IgG4-SC 2020. RESULTS: The diagnosis of IgG4-SC is based on a combination of the following six criteria: (1) narrowing of the intra- or extrahepatic bile duct, (2) thickening of the bile duct wall, (3) serological findings, (4) pathological findings, (5) other organ involvement, and (6) effectiveness of steroid therapy. CONCLUSION: These new diagnostic criteria for IgG4-SC are useful in practice for general physicians and other non-specialists. This article is protected by copyright. All rights reserved.
Authors: Sylvia Drazilova; Eduard Veseliny; Patricia Denisa Lenartova; Dagmar Drazilova; Jakub Gazda; Ivica Grgurevic; Martin Janicko; Peter Jarcuska Journal: Can J Gastroenterol Hepatol Date: 2021-12-21
Authors: Ricardo Jacaranda de Faria; Marcos Vasconcelos Carneiro; Lucio Lucas Pereira; Raissa Dytz; Gabriela Dos Santos Journal: J Med Cases Date: 2022-03-05