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Chronic Pancreatitis Associated with Adult-Onset Type II Citrullinemia: Clinical and Pathologic Findings

Shu-ichi Ikeda, MD; Shigeyuki Kawa, MD; Yo-ichi Takei, MD; Kanji Yamamoto, MD; Hisashi Shimojo, MD; Ken-ichi Tabata, MD; Keiko Kobayashi, PhD; and Takeyori Saheki, MD
[+] Article and Author Information

From Shinshu University School of Medicine, Matsumoto 390-8621, Japan; Saku General Hospital, Usuda 384-0393, Japan; and Kagoshima University; Kagoshima 890-8520, Japan.


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Ann Intern Med. 2004;141(7):W-109-W-110. doi:10.7326/0003-4819-141-7-200410050-00028-w1
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Figures

Grahic Jump Location
Figure.
Pathologic examination of patient 2 (top, middle) and patient 3 (bottom).

Top. A large calculus (arrow) is visible within a main duct in the pancreatic head. The inset shows a coronal section of the cerebrum with extensive necrosis of white matter. Middle. Remarkable fibrosis is present in the pancreas among interlobular spaces, but no serious infiltration of inflammatory cells is seen. (Hematoxylin–eosin; original magnification, ×60.) Bottom. The presence of protein plugs within the pancreatic ducts is noticeable. (Hematoxylin–eosin; original magnification, ×35.)

Grahic Jump Location

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