CAJ | 학술논문

自身免疫性胰腺炎(AIP)是一种罕见的，以无痛性梗阻性黄疸为主要临床表现，以淋巴浆细胞浸润、局限性胰头肿块或弥漫性胰腺肿胀为特征的慢性胰腺炎。该疾病被分为两个亚型，1型AIP称为淋巴浆细胞硬化性胰腺炎；2型AIP称为特发性导管中心性慢性胰腺炎。目前，人们对AIP知之甚少，且AIP在临床上与胰腺癌难以鉴别，极易漏诊及误诊。本文在广泛查阅国内外关于AIP的相关文献后，就其流行病学与发病机制、临床表现、组织学特征、血清学特征、影像学特征、诊断标准和治疗等进行综述，以加强对AIP的认识，减少对该疾病的误诊。
자신면역성이선염(AIP)시일충한견적，이무통성경조성황달위주요림상표현，이림파장세포침윤、국한성이두종괴혹미만성이선종창위특정적만성이선염。해질병피분위량개아형，1형AIP칭위림파장세포경화성이선염；2형AIP칭위특발성도관중심성만성이선염。목전，인문대AIP지지심소，차AIP재림상상여이선암난이감별，겁역루진급오진。본문재엄범사열국내외관우AIP적상관문헌후，취기류행병학여발병궤제、림상표현、조직학특정、혈청학특정、영상학특정、진단표준화치료등진행종술，이가강대AIP적인식，감소대해질병적오진。
Autoimmune pancreatitis (AIP) is a rare, chronic pancreatitis with a painless obstructive jaundice on mani-festation, lymphoplasmacytic infiltration and fibrosis on histology and limitations of the pancreatic head mass or diffuse swelling of the pancreas on imaging. The disease is divided into two subtypes, type 1 called lymphoplasmacytic scleros-ing pancreatitis which is took as a part of the systemic autoimmune disease, and type 2 called idiopathic duct-centric chronic pancreatitis. People understand poorly about the disease so far, and in clinic, it is always difficult to differenti-ate from pancreatic cancer, and easy to misdiagnose. In this paper, after extensive relevant literature about AIP con-sulted at home and abroad, the epidemiology, pathogenesis, clinical manifestations, histologic characteristics, serological characteristics, imaging features, diagnosis criteria and treatment were reviewed, in order to strengthen the understand-ing and reduce the misdiagnosis of AIP.