Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with clinical features suggestive of Type 2 Autoimmune Pancreatitis (AIP), characterized by idiopathic duct-centric pancreatitis (IDCP). Symptoms include [epigastric pain/obstructive jaundice/weight loss]. Notable absence of systemic IgG4-related disease manifestations. History is significant for recurrent episodes of acute pancreatitis without identifiable biliary or metabolic etiology.
Clinical Examination Findings
Physical examination reveals [tenderness in the epigastrium/RUQ]. No palpable abdominal masses or organomegaly. Scleral icterus noted [if applicable]. Skin examination negative for IgG4-related plaques or rashes. Vitals stable. Abdominal auscultation reveals normal bowel sounds.
Treatment Protocol
Management plan includes initiation of corticosteroid therapy [e.g., Prednisone 40mg daily with taper]. Monitor for clinical response and resolution of ductal abnormalities via imaging. Consider steroid-sparing agents if relapse occurs. Maintain supportive care for pain management and nutritional optimization.