Autoimmune pancreatitis diagnostic study of choice: Difference between revisions

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__NOTOC__
__NOTOC__
{{Autoimmune pancreatitis}}
{{Autoimmune pancreatitis}}
{{CMG}} {{AE}}
{{CMG}} {{AE}}{{IQ}}
{{Xyz}}
== Overview ==
== Overview ==
* The page name should be '''"Diagnostic study of choice for [disease name]"''', with only the first letter of the title capitalized. Note that the page is called "Diagnostic study of choice."
Autoimmune pancreatitis is diagnosed by revised HISORt criteria, proposed by Mayo clinic, that includes [[histology]], [[pancreatic]] imaging, [[serology]], other organ involvement, and response to [[steroid]] treatment.
* '''Goal:'''
**To describe the most efficient/sensitive/specific test that is utilized for diagnosis of [disease name].
**To describe the gold standard test for the diagnosis of [disease name].
**To describe the diagnostic criteria, which may be based on clinical findings, physical exam signs, pathological findings, lab findings, findings on imaging, or even findings that exclude other diseases.
* As with all microchapter pages linking to the main page, at the top of the edit box put <nowiki>{{CMG}}</nowiki>, your name template, and the microchapter navigation template you created at the beginning.
* Remember to create links within WikiDoc by placing <nowiki>[[square brackets]]</nowiki> around key words which you want to link to other pages. Make sure you makes your links as specific as possible. For example, if a sentence contained the phrase anterior spinal artery syndrome, the link should be to [[anterior spinal artery syndrome]] not [[anterior]] or [[artery]] or [[syndrome]].  For more information on how to create links, click [[here]].
* Remember to follow the same format and capitalization of letters as outlined in the template below.
* You should include the name of the disease in the first sentence of every subsection.


== Diagnostic Study of Choice ==
== Diagnostic Study of Choice ==
===== Template statements =====
=== Gold standard/Study of choice: ===
* [Name of the investigation] is the gold standard test for the diagnosis of [disease name].
* The following result of [gold standard test] is confirmatory of [disease name]:
** Result 1
** Result 2
* The [name of investigation] should be performed when:
** The patient presented with symptoms/signs 1. 2, 3.
** A positive [test] is detected in the patient.
* [Name of the investigation] is the gold standard test for the diagnosis of [disease name].
* The diagnostic study of choice for [disease name] is [name of investigation].
* There is no single diagnostic study of choice for the diagnosis of [disease name].
* There is no single diagnostic study of choice for the diagnosis of [disease name], but [disease name] can be diagnosed based on [name of the investigation 1] and [name of the investigation 2].
* [Disease name] is mainly diagnosed based on clinical presentation.
* Investigations:
** Among patients who present with clinical signs of [disease name], the [investigation name] is the most specific test for the diagnosis.
** Among patients who present with clinical signs of [disease name], the [investigation name] is the most sensitive test for diagnosis.
** Among patients who present with clinical signs of [disease name], the [investigation name] is the most efficient test for diagnosis.
==== The comparison table for diagnostic studies of choice for [disease name] ====
{|
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! style="background: #FFFFFF; color: #FFFFFF; text-align: center;" |
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Sensitivity
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specificity
|-
! style="background: #696969; color: #FFFFFF; text-align: center;" |Test 1
| style="background: #DCDCDC; padding: 5px; text-align: center;" |✔
| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
|-
! style="background: #696969; color: #FFFFFF; text-align: center;" |Test 2
| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
| style="background: #DCDCDC; padding: 5px; text-align: center;" |✔
|}
<small> ✔= The best test based on the feature </small>
===== Diagnostic results =====
The following result of [investigation name] is confirmatory of [disease name]:
* Result 1
* Result 2
===== Sequence of Diagnostic Studies =====
The [name of investigation] should be performed when:
* The patient presented with symptoms/signs 1, 2, and 3 as the first step of diagnosis.
* A positive [test] is detected in the patient, to confirm the diagnosis.


=== Diagnostic Criteria ===
=== Diagnostic Criteria ===
Autoimmune pancreatitis is diagnosed by revised HISORt criteria, proposed by Mayo clinic and may include one or more of the following:
Autoimmune pancreatitis is diagnosed by revised HISORt criteria, proposed by Mayo clinic and may include one or more of the following:<ref name="pmid19410017">{{cite journal |vauthors=Chari ST, Takahashi N, Levy MJ, Smyrk TC, Clain JE, Pearson RK, Petersen BT, Topazian MA, Vege SS |title=A diagnostic strategy to distinguish autoimmune pancreatitis from pancreatic cancer |journal=Clin. Gastroenterol. Hepatol. |volume=7 |issue=10 |pages=1097–103 |year=2009 |pmid=19410017 |doi=10.1016/j.cgh.2009.04.020 |url=}}</ref><ref name="pmid16843735">{{cite journal |vauthors=Chari ST, Smyrk TC, Levy MJ, Topazian MD, Takahashi N, Zhang L, Clain JE, Pearson RK, Petersen BT, Vege SS, Farnell MB |title=Diagnosis of autoimmune pancreatitis: the Mayo Clinic experience |journal=Clin. Gastroenterol. Hepatol. |volume=4 |issue=8 |pages=1010–6; quiz 934 |year=2006 |pmid=16843735 |doi=10.1016/j.cgh.2006.05.017 |url=}}</ref>
{| class="wikitable"
{| class="wikitable"
!Criteria
!Criteria
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|-
|-
|(I)
|(I)
|Pancreatic '''imaging''' suggestive of autoimmine pancreatitis
|[[Pancreatic]] '''imaging''' suggestive of autoimmune pancreatitis
|-
|-
|(S)
|(S)
Line 81: Line 25:
|'''Other''' organ involvement
|'''Other''' organ involvement
* Biliary strictures
* Biliary strictures
* Parotid/lacrimal gland involvement
* [[Parotid]]/[[lacrimal gland]] involvement
* Mediastinal lymphadenopathy
* [[Mediastinal]] [[lymphadenopathy]]
* Retroperitoneal fibrosis
* [[Retroperitoneal]] [[fibrosis]]
|-
|-
|(Rt)
|(Rt)
Line 90: Line 34:


==References==
==References==
* References should be cited for the material that you have put on your page. Type in <nowiki>{{reflist|2}}</nowiki>.This will generate your references in small font, in two columns, with links to the original article and abstract.
{{Reflist|2}}
* For information on how to add references into your page, click [[Adding References to Articles|here]].

Latest revision as of 15:44, 18 January 2018

Autoimmune pancreatitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Autoimmune pancreatitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Guidelines for Management

Case Studies

Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]

Overview

Autoimmune pancreatitis is diagnosed by revised HISORt criteria, proposed by Mayo clinic, that includes histology, pancreatic imaging, serology, other organ involvement, and response to steroid treatment.

Diagnostic Study of Choice

Diagnostic Criteria

Autoimmune pancreatitis is diagnosed by revised HISORt criteria, proposed by Mayo clinic and may include one or more of the following:[1][2]

Criteria
(H) Histology suggestive of autoimmine pancreatitis
(I) Pancreatic imaging suggestive of autoimmune pancreatitis
(S) Serology (IgG4 ≥2 times the upper limit of normal)
(O) Other organ involvement
(Rt) Response to steroid treatment

References

  1. ↑ Chari ST, Takahashi N, Levy MJ, Smyrk TC, Clain JE, Pearson RK, Petersen BT, Topazian MA, Vege SS (2009). "A diagnostic strategy to distinguish autoimmune pancreatitis from pancreatic cancer". Clin. Gastroenterol. Hepatol. 7 (10): 1097–103. doi:10.1016/j.cgh.2009.04.020. PMID 19410017.
  2. ↑ Chari ST, Smyrk TC, Levy MJ, Topazian MD, Takahashi N, Zhang L, Clain JE, Pearson RK, Petersen BT, Vege SS, Farnell MB (2006). "Diagnosis of autoimmune pancreatitis: the Mayo Clinic experience". Clin. Gastroenterol. Hepatol. 4 (8): 1010–6, quiz 934. doi:10.1016/j.cgh.2006.05.017. PMID 16843735.
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