The Deadly Masquerade: Unveiling the Fatal Facade of the Great Imitator.

IF 1.3 Q3 MEDICINE, GENERAL & INTERNAL
Cureus Pub Date : 2025-06-26 eCollection Date: 2025-06-01 DOI:10.7759/cureus.86819
Tyler R Ellett, Andrew Pippas, Humberto Rios, Seema B Jabbar
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引用次数: 0

Abstract

Sclerosing cholangitis (SC) is a fibroinflammatory condition that results in the progressive narrowing and destruction of bile ducts. It is generally classified into three distinct types: primary sclerosing cholangitis (PSC), secondary cholangitis, and immunoglobulin G4 (IgG4)-related cholangitis (IRC). IgG4-sclerosing cholangitis (IgG4-SC) is a rare entity characterized by inflammation and strictures within the biliary tree, arising from host-mediated immune responses. This condition represents the biliary manifestation of IgG4-related disease and may mimic other forms of sclerosing cholangiopathy, as well as cholangiocarcinoma. The clinical presentations of these diseases exhibit significant overlap, and diagnosis can be challenging. This case report discusses a 67-year-old male patient diagnosed with isolated IgG4-SC, who was initially suspected of having either cholangiocarcinoma or PSC.

致命的假面舞会:揭露伟大模仿者的致命外表。
硬化性胆管炎(SC)是一种纤维炎性疾病,导致胆管进行性狭窄和破坏。一般分为原发性硬化性胆管炎(PSC)、继发性胆管炎和免疫球蛋白G4 (IgG4)相关胆管炎(IRC)三种不同类型。igg4硬化性胆管炎(IgG4-SC)是一种罕见的实体,其特征是胆道树内的炎症和狭窄,由宿主介导的免疫反应引起。这种情况代表了igg4相关疾病的胆道表现,并可能模仿其他形式的硬化性胆管病以及胆管癌。这些疾病的临床表现明显重叠,诊断可能具有挑战性。本病例报告讨论了一位67岁男性患者被诊断为孤立性IgG4-SC,他最初怀疑患有胆管癌或PSC。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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