Autoimmune Diseases of Digestive Organs-A Multidisciplinary Challenge: A Focus on Hepatopancreatobiliary Manifestation
It is well known that some pathological conditions, especially of autoimmune etiology, are associated with the HLA (human leukocyte antigen) phenotype. Among these diseases, we include celiac disease, inflammatory bowel disease, autoimmune enteropathy, autoimmune hepatitis, primary sclerosing cholan...
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description | It is well known that some pathological conditions, especially of autoimmune etiology, are associated with the HLA (human leukocyte antigen) phenotype. Among these diseases, we include celiac disease, inflammatory bowel disease, autoimmune enteropathy, autoimmune hepatitis, primary sclerosing cholangitis and primary biliary cholangitis. Immunoglobulin G4-related diseases (IgG4-related diseases) constitute a second group of autoimmune gastrointestinal, hepatobiliary and pancreatic illnesses. IgG4-related diseases are systemic and rare autoimmune illnesses. They often are connected with chronic inflammation and fibrotic reaction that can occur in any organ of the body. The most typical feature of these diseases is a mononuclear infiltrate with IgG4-positive plasma cells and self-sustaining inflammatory response. In this review, we focus especially upon the hepatopancreatobiliary system, autoimmune pancreatitis and IgG4-related sclerosing cholangitis. The cooperation of the gastroenterologist, radiologist, surgeon and histopathologist is crucial for establishing correct diagnoses and appropriate treatment, especially in IgG4 hepatopancreatobiliary diseases. |
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Among these diseases, we include celiac disease, inflammatory bowel disease, autoimmune enteropathy, autoimmune hepatitis, primary sclerosing cholangitis and primary biliary cholangitis. Immunoglobulin G4-related diseases (IgG4-related diseases) constitute a second group of autoimmune gastrointestinal, hepatobiliary and pancreatic illnesses. IgG4-related diseases are systemic and rare autoimmune illnesses. They often are connected with chronic inflammation and fibrotic reaction that can occur in any organ of the body. The most typical feature of these diseases is a mononuclear infiltrate with IgG4-positive plasma cells and self-sustaining inflammatory response. In this review, we focus especially upon the hepatopancreatobiliary system, autoimmune pancreatitis and IgG4-related sclerosing cholangitis. The cooperation of the gastroenterologist, radiologist, surgeon and histopathologist is crucial for establishing correct diagnoses and appropriate treatment, especially in IgG4 hepatopancreatobiliary diseases.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm10245796</identifier><identifier>PMID: 34945093</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Antibodies ; Antigens ; Autoimmune diseases ; Bile ducts ; Biological products ; Biopsy ; Celiac disease ; Cholangitis ; Clinical medicine ; Etiology ; Gluten ; Haplotypes ; Hepatitis ; Inflammatory bowel disease ; Liver diseases ; Nutrition research ; Pediatrics ; Review ; Serology ; Smooth muscle ; Steroids</subject><ispartof>Journal of clinical medicine, 2021-12, Vol.10 (24), p.5796</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-60e2a6074b260e74825eb458dcb7a20556974d4296f424951675ea2509b9f4073</citedby><cites>FETCH-LOGICAL-c409t-60e2a6074b260e74825eb458dcb7a20556974d4296f424951675ea2509b9f4073</cites><orcidid>0000-0001-5723-5175 ; 0000-0003-2985-8759 ; 0000-0002-4094-2364 ; 0000-0002-7998-772X ; 0000-0002-8154-1567 ; 0000-0003-3138-9736</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8705412/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8705412/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34945093$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kunovsky, Lumir</creatorcontrib><creatorcontrib>Dite, Petr</creatorcontrib><creatorcontrib>Jabandziev, Petr</creatorcontrib><creatorcontrib>Kala, Zdenek</creatorcontrib><creatorcontrib>Vaculova, Jitka</creatorcontrib><creatorcontrib>Andrasina, Tomas</creatorcontrib><creatorcontrib>Hrunka, Matej</creatorcontrib><creatorcontrib>Bojkova, Martina</creatorcontrib><creatorcontrib>Trna, Jan</creatorcontrib><title>Autoimmune Diseases of Digestive Organs-A Multidisciplinary Challenge: A Focus on Hepatopancreatobiliary Manifestation</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>It is well known that some pathological conditions, especially of autoimmune etiology, are associated with the HLA (human leukocyte antigen) phenotype. Among these diseases, we include celiac disease, inflammatory bowel disease, autoimmune enteropathy, autoimmune hepatitis, primary sclerosing cholangitis and primary biliary cholangitis. Immunoglobulin G4-related diseases (IgG4-related diseases) constitute a second group of autoimmune gastrointestinal, hepatobiliary and pancreatic illnesses. IgG4-related diseases are systemic and rare autoimmune illnesses. They often are connected with chronic inflammation and fibrotic reaction that can occur in any organ of the body. The most typical feature of these diseases is a mononuclear infiltrate with IgG4-positive plasma cells and self-sustaining inflammatory response. In this review, we focus especially upon the hepatopancreatobiliary system, autoimmune pancreatitis and IgG4-related sclerosing cholangitis. The cooperation of the gastroenterologist, radiologist, surgeon and histopathologist is crucial for establishing correct diagnoses and appropriate treatment, especially in IgG4 hepatopancreatobiliary diseases.</description><subject>Antibodies</subject><subject>Antigens</subject><subject>Autoimmune diseases</subject><subject>Bile ducts</subject><subject>Biological products</subject><subject>Biopsy</subject><subject>Celiac disease</subject><subject>Cholangitis</subject><subject>Clinical medicine</subject><subject>Etiology</subject><subject>Gluten</subject><subject>Haplotypes</subject><subject>Hepatitis</subject><subject>Inflammatory bowel disease</subject><subject>Liver diseases</subject><subject>Nutrition research</subject><subject>Pediatrics</subject><subject>Review</subject><subject>Serology</subject><subject>Smooth muscle</subject><subject>Steroids</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkUtLxDAUhYMoKqMr91JwI0g1zaNpXAjD-ATFja5D2rkdM6RJTdoB_70ZfDCaTQ7cL4dzcxA6KvA5pRJfLJuuwIRxIcsttE-wEDmmFd3e0HvoMMYlTqeqGCnELtqjTDKOJd1Hq-k4eNN1o4Ps2kTQEWLm26QXEAezguw5LLSL-TR7Gu1g5iY2prfG6fCRzd60teAWcJlNs1vfjOmpy-6h14PvtWsCJFEba9bwk3amTZ56MN4doJ1W2wiH3_cEvd7evMzu88fnu4fZ9DFvGJZDXmIgusSC1SRJwSrCoWa8mje10ARzXkrB5ozIsmWESV6UgoMmabVatgwLOkFXX779WHcwb8ANQVvVB9OlTMpro_5OnHlTC79SlcCcFSQZnH4bBP8-pviqSz8A1moHfoyKlAUjtMSYJvTkH7r0Y3BpvTVFRCW4XBuefVFN8DEGaH_DFFitK1UblSb6eDP_L_tTIP0EAFiczg</recordid><startdate>20211211</startdate><enddate>20211211</enddate><creator>Kunovsky, Lumir</creator><creator>Dite, Petr</creator><creator>Jabandziev, Petr</creator><creator>Kala, Zdenek</creator><creator>Vaculova, Jitka</creator><creator>Andrasina, Tomas</creator><creator>Hrunka, Matej</creator><creator>Bojkova, Martina</creator><creator>Trna, Jan</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5723-5175</orcidid><orcidid>https://orcid.org/0000-0003-2985-8759</orcidid><orcidid>https://orcid.org/0000-0002-4094-2364</orcidid><orcidid>https://orcid.org/0000-0002-7998-772X</orcidid><orcidid>https://orcid.org/0000-0002-8154-1567</orcidid><orcidid>https://orcid.org/0000-0003-3138-9736</orcidid></search><sort><creationdate>20211211</creationdate><title>Autoimmune Diseases of Digestive Organs-A Multidisciplinary Challenge: A Focus on Hepatopancreatobiliary Manifestation</title><author>Kunovsky, Lumir ; 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subjects | Antibodies Antigens Autoimmune diseases Bile ducts Biological products Biopsy Celiac disease Cholangitis Clinical medicine Etiology Gluten Haplotypes Hepatitis Inflammatory bowel disease Liver diseases Nutrition research Pediatrics Review Serology Smooth muscle Steroids |
title | Autoimmune Diseases of Digestive Organs-A Multidisciplinary Challenge: A Focus on Hepatopancreatobiliary Manifestation |
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