Autoimmune pancreatitis with extraocular muscles involvement
Yousuf Tasneem, A.A.; Yousuf, H.A.; Luck, N.H.; Abbas, Z.; Anis, S.; Hassan, S.M.
JPMA. Journal of the Pakistan Medical Association 65(10): 1125-1127
2015
ISSN/ISBN: 0030-9982 PMID: 26440848 Document Number: 682818
Autoimmune pancreatitis is characterised by diffuse enlargement of pancreas, narrowing of pancreatic duct, lymphoplasmacytic infiltrations and fibrosis. The disease is responsive to corticosteroid. We report the case of a 32-year-old male who presented with unilateral exophthalmos and obstructive jaundice secondary to pancreatic head mass and biliary tract stricture. Serum immunoglobulin G level was raised with a very high immunoglobulin G4 subclass. Ophthalmological imaging revealed unilateral thickening of extraocular muscles. The patient responded well to corticosteroid with resolution of biliary strictures, pancreatic head mass and exophthalmos.