{"id":9538,"date":"2026-10-27T10:37:09","date_gmt":"2026-10-27T01:37:09","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=9538"},"modified":"2026-10-27T11:25:11","modified_gmt":"2026-10-27T02:25:11","slug":"type-1-autoimmune-pancreatitis-igg4-nejm-2026","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/type-1-autoimmune-pancreatitis-igg4-nejm-2026\/","title":{"rendered":"1\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u3068\u306f\uff1fIgG4\u9ad8\u5024\u30fb\u30bd\u30fc\u30bb\u30fc\u30b8\u69d8\u81b5\u816b\u5927\u3068\u80c6\u7ba1\u72ed\u7a84\u3092\u793a\u3057\u305fNEJM\u75c7\u4f8b"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\u81b5\u81d3\u5168\u4f53\u304c\u816b\u308c\u308b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u3068IgG4\u95a2\u9023\u75be\u60a3<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\uff08Autoimmune Pancreatitis\uff1aAIP\uff09\u306f\u3001\u514d\u75ab\u7cfb\u304c\u95a2\u4e0e\u3059\u308b\u708e\u75c7\u306b\u3088\u3063\u3066\u81b5\u81d3\u304c\u816b\u5927\u3057\u3001\u7dda\u7dad\u5316\u3084\u81b5\u7ba1\u30fb\u80c6\u7ba1\u306e\u72ed\u7a84\u3092\u751f\u3058\u308b\u75be\u60a3\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306b1\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306f\u3001\u5168\u8eab\u306e\u3055\u307e\u3056\u307e\u306a\u81d3\u5668\u306b\u708e\u75c7\u3084\u7dda\u7dad\u5316\u3092\u5f15\u304d\u8d77\u3053\u3059\u300cIgG4\u95a2\u9023\u75be\u60a3\u300d\u306e\u81b5\u75c5\u5909\u3068\u3057\u3066\u4f4d\u7f6e\u3065\u3051\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u81b5\u81d3\u5168\u4f53\u304c\u30bd\u30fc\u30bb\u30fc\u30b8\u306e\u3088\u3046\u306b\u816b\u308c\u308b\u7279\u5fb4\u7684\u306aCT\u753b\u50cf\u3084\u3001\u8840\u6db2\u4e2d\u306eIgG4\u4e0a\u6607\u304c\u8a3a\u65ad\u306e\u624b\u304c\u304b\u308a\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u81b5\u81d3\u306e\u816b\u5927\u3084\u80c6\u7ba1\u72ed\u7a84\u306f\u81b5\u764c\u306a\u3069\u306e\u60aa\u6027\u75be\u60a3\u3067\u3082\u8a8d\u3081\u3089\u308c\u308b\u305f\u3081\u3001\u753b\u50cf\u3084\u8840\u6db2\u691c\u67fb\u3060\u3051\u3067\u5b89\u6613\u306b\u8a3a\u65ad\u3057\u3066\u306f\u3044\u3051\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2026\u5e748\u6708\u3001\u533b\u5b66\u8a8c <em>The New England Journal of Medicine\uff08NEJM\uff09<\/em> 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class=\"wp-block-paragraph\">\u3057\u304b\u3057\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u3067\u306f\u3001\u708e\u75c7\u7d30\u80de\u6d78\u6f64\u3084\u9593\u8cea\u306e\u5909\u5316\u306b\u3088\u3063\u3066\u81b5\u81d3\u304c\u5168\u4f53\u7684\u306b\u816b\u5927\u3057\u3001\u8f2a\u90ed\u306e\u51f9\u51f8\u304c\u76ee\u7acb\u305f\u306a\u304f\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u5f62\u614b\u306f\u300c\u30bd\u30fc\u30bb\u30fc\u30b8\u69d8\u81b5\u816b\u5927\uff08sausage-like appearance\uff09\u300d\u3068\u547c\u3070\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u88ab\u819c\u69d8\u4f4e\u5438\u53ce\u5e2f\uff08Capsule-like rim\uff09\u3068\u306f\uff1f<\/h3>\n\n\n\n<p 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height=\"319\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-176.png\" alt=\"1\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306e\u9020\u5f71CT\u3002\u30bd\u30fc\u30bb\u30fc\u30b8\u69d8\u306b\u3073\u307e\u3093\u6027\u816b\u5927\u3057\u305f\u81b5\u81d3\u3068\u5468\u56f2\u306e\u88ab\u819c\u69d8\u4f4e\u5438\u53ce\u5e2f\u3092\u8a8d\u3081\u308b\u3002\" class=\"wp-image-9540\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-176.png 412w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-176-387x300.png 387w\" sizes=\"auto, (max-width: 412px) 100vw, 412px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f3A\uff1a 60\u6b73\u7537\u6027\u306e\u9020\u5f71\u8179\u90e8CT\uff08\u9580\u8108\u76f8\uff09\u3002<\/strong>\u81b5\u81d3\u5168\u4f53\u306b\u30bd\u30fc\u30bb\u30fc\u30b8\u69d8\u306e\u3073\u307e\u3093\u6027\u816b\u5927\u3092\u8a8d\u3081\u3001\u81b5\u5468\u56f2\u306b\u306f\u88ab\u819c\u69d8\u4f4e\u5438\u53ce\u5e2f\uff08capsule-like rim\uff09\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002\u3053\u308c\u3089\u306f1\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u3092\u793a\u5506\u3059\u308b\u7279\u5fb4\u7684\u306a\u753b\u50cf\u6240\u898b\u3067\u3042\u308b\u304c\u3001\u5358\u72ec\u3067\u78ba\u5b9a\u8a3a\u65ad\u3092\u4e0e\u3048\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3\uff0eERCP\u3067\u78ba\u8a8d\u3055\u308c\u305f\u81b5\u5185\u80c6\u7ba1\u72ed\u7a84<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u75c7\u4f8b\u3067\u306f\u3001\u5185\u8996\u93e1\u7684\u9006\u884c\u6027\u80c6\u7ba1\u81b5\u7ba1\u9020\u5f71\uff08ERCP\uff09\u3082\u65bd\u884c\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u306e\u7d50\u679c\u3001\u81b5\u81d3\u5185\u90e8\u3092\u901a\u904e\u3059\u308b\u7dcf\u80c6\u7ba1\u9060\u4f4d\u90e8\u306b\u72ed\u7a84\u304c\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u80c6\u7ba1\u306f\u809d\u81d3\u3067\u4f5c\u3089\u308c\u305f\u80c6\u6c41\u3092\u5341\u4e8c\u6307\u8178\u307e\u3067\u904b\u3076\u7ba1\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7dcf\u80c6\u7ba1\u306e\u4e0b\u90e8\u306f\u81b5\u982d\u90e8\u5185\u3092\u8d70\u884c\u3059\u308b\u305f\u3081\u3001\u81b5\u81d3\u306b\u708e\u75c7\u3084\u7dda\u7dad\u5316\u304c\u751f\u3058\u308b\u3068\u80c6\u7ba1\u3082\u72ed\u304f\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">1\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u3067\u306f\u3001\u81b5\u5185\u80c6\u7ba1\u306e\u72ed\u7a84\u304c\u8a8d\u3081\u3089\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u3001IgG4\u95a2\u9023\u786c\u5316\u6027\u80c6\u7ba1\u708e\u3068\u306e\u95a2\u9023\u3082\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u672c\u75c7\u4f8b\u3067\u793a\u3055\u308c\u305f\u306e\u306f\u81b5\u5185\u80c6\u7ba1\u72ed\u7a84\u3067\u3042\u308a\u3001IgG4\u95a2\u9023\u786c\u5316\u6027\u80c6\u7ba1\u708e\u306e\u8a3a\u65ad\u307e\u3067\u306f\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u80c6\u7ba1\u72ed\u7a84\u304c\u8a8d\u3081\u3089\u308c\u305f\u5834\u5408\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u75be\u60a3\u3068\u306e\u9451\u5225\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u81b5\u982d\u90e8\u764c<\/li>\n\n\n\n<li>\u9060\u4f4d\u80c6\u7ba1\u764c<\/li>\n\n\n\n<li>IgG4\u95a2\u9023\u786c\u5316\u6027\u80c6\u7ba1\u708e<\/li>\n\n\n\n<li>\u826f\u6027\u708e\u75c7\u6027\u80c6\u7ba1\u72ed\u7a84<\/li>\n\n\n\n<li>\u305d\u306e\u4ed6\u306e\u80c6\u9053\u75be\u60a3<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u75c7\u4f8b\u3067\u306f\u3001\u660e\u3089\u304b\u306a\u9ec4\u75b8\u3092\u8a8d\u3081\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u3053\u3068\u306f\u3001\u80c6\u7ba1\u72ed\u7a84\u304c\u5b58\u5728\u3057\u3066\u3044\u3066\u3082\u3001\u5fc5\u305a\u3057\u3082\u8a3a\u5bdf\u6642\u306b\u9ec4\u75b8\u304c\u51fa\u73fe\u3059\u308b\u3068\u306f\u9650\u3089\u306a\u3044\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u304a\u3001ERCP\u306f\u81b5\u708e\u306a\u3069\u306e\u5408\u4f75\u75c7\u3092\u4f34\u3044\u3046\u308b\u4fb5\u8972\u7684\u691c\u67fb\u3067\u3042\u308a\u3001\u3059\u3079\u3066\u306e\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u7591\u3044\u75c7\u4f8b\u3067\u5fc5\u8981\u306b\u306a\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u73fe\u5728\u306fMRCP\u3084\u8d85\u97f3\u6ce2\u5185\u8996\u93e1\uff08EUS\uff09\u306a\u3069\u3082\u7d44\u307f\u5408\u308f\u305b\u3001\u691c\u67fb\u306e\u5fc5\u8981\u6027\u3092\u5224\u65ad\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"250\" height=\"316\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-177.png\" alt=\"ERCP\u753b\u50cf\u3067\u78ba\u8a8d\u3055\u308c\u305f\u81b5\u5185\u80c6\u7ba1\u9060\u4f4d\u90e8\u306e\u72ed\u7a84\u3002\u72ed\u7a84\u90e8\u4f4d\u3092\u77e2\u5370\u3067\u793a\u3057\u3066\u3044\u308b\u3002\" class=\"wp-image-9541\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-177.png 250w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-177-237x300.png 237w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f3B\uff1a \u5185\u8996\u93e1\u7684\u9006\u884c\u6027\u80c6\u7ba1\u81b5\u7ba1\u9020\u5f71\uff08ERCP\uff09<\/strong>\u3002\u7dcf\u80c6\u7ba1\u9060\u4f4d\u90e8\u306e\u81b5\u5185\u80c6\u7ba1\u306b\u72ed\u7a84\u3092\u8a8d\u3081\u308b\u3002\u81b5\u81d3\u306e\u708e\u75c7\u6027\u5909\u5316\u306b\u4f34\u3046\u80c6\u7ba1\u75c5\u5909\u3092\u793a\u5506\u3059\u308b\u6240\u898b\u3067\u3042\u308b\u3002\u672c\u75c7\u4f8b\u3067\u306f\u8a3a\u5bdf\u6642\u306b\u660e\u3089\u304b\u306a\u9ec4\u75b8\u3092\u4f34\u3063\u3066\u3044\u306a\u304b\u3063\u305f\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4\uff0e\u8840\u6e05IgG4 600 mg\/dL\u304c\u610f\u5473\u3059\u308b\u3053\u3068<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6e05IgG4\u306f\u30011\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306e\u8a3a\u65ad\u306b\u304a\u3051\u308b\u91cd\u8981\u306a\u8840\u6e05\u5b66\u7684\u6307\u6a19\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u75c7\u4f8b\u3067\u306f\u4ee5\u4e0b\u306e\u7d50\u679c\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><th>\u9805\u76ee<\/th><th>\u7d50\u679c<\/th><\/tr><tr><td>\u8840\u6e05IgG4<\/td><td>600 mg\/dL<\/td><\/tr><tr><td>\u65bd\u8a2d\u57fa\u6e96\u7bc4\u56f2<\/td><td>11\uff5e121 mg\/dL<\/td><\/tr><tr><td>\u57fa\u6e96\u4e0a\u9650\u3068\u306e\u6bd4\u8f03<\/td><td>\u7d044.96\u500d<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u8457\u660e\u306aIgG4\u4e0a\u6607\u306f\u3001\u7279\u5fb4\u7684\u306a\u753b\u50cf\u6240\u898b\u3068\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u30671\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306e\u8a3a\u65ad\u3092\u5f37\u304f\u652f\u6301\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u3053\u3053\u3067\u91cd\u8981\u306a\u306e\u306f\u3001<strong>IgG4\u304c\u9ad8\u3044\u3068\u3044\u3046\u7406\u7531\u3060\u3051\u3067\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u3068\u8a3a\u65ad\u3067\u304d\u308b\u308f\u3051\u3067\u306f\u306a\u3044<\/strong>\u3068\u3044\u3046\u70b9\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6e05IgG4\u306f\u4e00\u90e8\u306e\u60aa\u6027\u816b\u760d\u3084\u4ed6\u306e\u708e\u75c7\u6027\u75be\u60a3\u3067\u3082\u4e0a\u6607\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u30011\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u3067\u3042\u3063\u3066\u3082\u3001\u8840\u6e05IgG4\u304c\u5fc5\u305a\u4e0a\u6607\u3059\u308b\u3068\u306f\u9650\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u305f\u304c\u3063\u3066\u3001\u8840\u6e05IgG4\u306f\u5358\u72ec\u306e\u8a3a\u65ad\u691c\u67fb\u3067\u306f\u306a\u304f\u3001\u753b\u50cf\u6240\u898b\u3001\u75c5\u7406\u7d44\u7e54\u6240\u898b\u3001\u4ed6\u81d3\u5668\u75c5\u5909\u306a\u3069\u3068\u7dcf\u5408\u3057\u3066\u89e3\u91c8\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"507\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-178.png\" alt=\" \u8840\u6e05IgG4\u306e\u57fa\u6e96\u7bc4\u56f211\uff5e121 mg\/dL\u3068\u75c7\u4f8b\u5024600 mg\/dL\u3092\u6bd4\u8f03\u3057\u305f\u30b0\u30e9\u30d5\u3002\" class=\"wp-image-9543\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-178.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-178-400x253.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-178-767x486.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f33\uff1a \u672c\u75c7\u4f8b\u306b\u304a\u3051\u308b\u8840\u6e05IgG4\u306e\u8457\u660e\u306a\u4e0a\u6607\u3002<\/strong>\u8840\u6e05IgG4\u306f600 mg\/dL\u3067\u3042\u308a\u3001\u539f\u8457\u306b\u8a18\u8f09\u3055\u308c\u305f\u65bd\u8a2d\u57fa\u6e96\u7bc4\u56f211\uff5e121 mg\/dL\u306e\u4e0a\u9650\u3092\u7d044.96\u500d\u4e0a\u56de\u3063\u3066\u3044\u305f\u3002\u8840\u6e05IgG4\u306e\u8457\u660e\u306a\u4e0a\u6607\u306f1\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u3092\u652f\u6301\u3059\u308b\u304c\u3001\u8a3a\u65ad\u306b\u306f\u753b\u50cf\u30fb\u75c5\u7406\u6240\u898b\u306a\u3069\u306e\u7dcf\u5408\u8a55\u4fa1\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u5358\u4e00\u75c7\u4f8b\u306e\u691c\u67fb\u5024\u3092\u793a\u3057\u3066\u304a\u308a\u3001\u96c6\u56e3\u306e\u5206\u5e03\u3084\u8a3a\u65ad\u6027\u80fd\u3092\u793a\u3059\u3082\u306e\u3067\u306f\u306a\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5\uff0e\u75c5\u7406\u691c\u67fb\uff1a\u30ea\u30f3\u30d1\u7403\u30fb\u5f62\u8cea\u7d30\u80de\u6d78\u6f64\u3068\u7dda\u7dad\u5316<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u81b5\u81d3\u304b\u3089\u63a1\u53d6\u3057\u305f\u7a7f\u523a\u5438\u5f15\u751f\u691c\u691c\u4f53\u306e\u75c5\u7406\u7d44\u7e54\u691c\u67fb\u3067\u306f\u3001\u4ee5\u4e0b\u306e\u6240\u898b\u304c\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30ea\u30f3\u30d1\u7403\u30fb\u5f62\u8cea\u7d30\u80de\u6d78\u6f64<\/li>\n\n\n\n<li>\u7dda\u7dad\u5316<\/li>\n\n\n\n<li>\u6162\u6027\u708e\u75c7<\/li>\n\n\n\n<li>\u63a1\u53d6\u6a19\u672c\u5185\u306b\u764c\u3092\u8a8d\u3081\u306a\u3044<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u691c\u4f53\u306b\u306f\u5727\u632b\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\uff08crush artifact\uff09\u304c\u3042\u308a\u3001\u75c5\u7406\u5b66\u7684\u8a55\u4fa1\u306b\u306f\u5236\u9650\u304c\u3042\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">1\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306e\u5178\u578b\u7684\u306a\u75c5\u7406\u7d44\u7e54\u50cf\u306f\u3001\u30ea\u30f3\u30d1\u5f62\u8cea\u7d30\u80de\u6027\u786c\u5316\u6027\u81b5\u708e\uff08Lymphoplasmacytic Sclerosing Pancreatitis\uff1aLPSP\uff09\u3068\u547c\u3070\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u5fb4\u7684\u306a\u6240\u898b\u3068\u3057\u3066\u3001\u4ee5\u4e0b\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>\u8457\u660e\u306a\u30ea\u30f3\u30d1\u7403\u30fb\u5f62\u8cea\u7d30\u80de\u6d78\u6f64<\/li>\n\n\n\n<li>\u82b1\u7b75\u72b6\u7dda\u7dad\u5316\uff08storiform fibrosis\uff09<\/li>\n\n\n\n<li>\u9589\u585e\u6027\u9759\u8108\u708e\uff08obliterative phlebitis\uff09<\/li>\n\n\n\n<li>IgG4\u967d\u6027\u5f62\u8cea\u7d30\u80de\u306e\u5897\u52a0<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u3053\u308c\u3089\u306e\u6240\u898b\u304c\u672c\u75c7\u4f8b\u306e\u75c5\u7406\u691c\u4f53\u3067\u3059\u3079\u3066\u78ba\u8a8d\u3055\u308c\u305f\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306b\u3001\u82b1\u7b75\u72b6\u7dda\u7dad\u5316\u3001\u9589\u585e\u6027\u9759\u8108\u708e\u3001IgG4\u514d\u75ab\u67d3\u8272\u306e\u7d50\u679c\u306b\u3064\u3044\u3066\u306f\u539f\u8457\u306b\u8a18\u8f09\u304c\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u75c7\u4f8b\u3067\u306f\u3001\u7279\u5fb4\u7684\u306a\u753b\u50cf\u6240\u898b\u3068\u8457\u660e\u306a\u8840\u6e05IgG4\u4e0a\u6607\u3092\u4e2d\u5fc3\u306b\u3001\u7dcf\u5408\u7684\u306b1\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u3068\u8a3a\u65ad\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u75c5\u7406\u691c\u67fb\u3067\u764c\u304c\u898b\u3064\u304b\u3089\u306a\u3051\u308c\u3070\u3001\u81b5\u764c\u306f\u5426\u5b9a\u3067\u304d\u308b\u306e\u304b\uff1f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u5fc5\u305a\u3057\u3082\u5426\u5b9a\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u81b5\u81d3\u306e\u7a7f\u523a\u751f\u691c\u306f\u63a1\u53d6\u3067\u304d\u308b\u7d44\u7e54\u91cf\u306b\u9650\u754c\u304c\u3042\u308a\u3001\u691c\u4f53\u306e\u72b6\u614b\u306b\u3088\u3063\u3066\u8a3a\u65ad\u80fd\u529b\u304c\u5f71\u97ff\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u60aa\u6027\u816b\u760d\u304c\u5b58\u5728\u3057\u3066\u3044\u3066\u3082\u3001\u63a1\u53d6\u90e8\u4f4d\u306b\u764c\u7d30\u80de\u304c\u542b\u307e\u308c\u306a\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u305f\u304c\u3063\u3066\u3001\u300c\u63a1\u53d6\u3057\u305f\u691c\u4f53\u306b\u764c\u304c\u8a8d\u3081\u3089\u308c\u306a\u304b\u3063\u305f\u300d\u3068\u3044\u3046\u7d50\u679c\u3068\u3001\u300c\u81b5\u764c\u304c\u78ba\u5b9f\u306b\u5b58\u5728\u3057\u306a\u3044\u300d\u3068\u3044\u3046\u7d50\u8ad6\u306f\u533a\u5225\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306b\u9650\u5c40\u6027\u306e\u81b5\u816b\u5927\u3092\u8a8d\u3081\u308b\u75c7\u4f8b\u3067\u306f\u3001\u60aa\u6027\u816b\u760d\u306e\u9664\u5916\u304c\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6\uff0e1\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u30682\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306e\u9055\u3044<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306f\u3001\u5927\u304d\u304f1\u578b\u30682\u578b\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e21\u8005\u306f\u985e\u4f3c\u3057\u305f\u753b\u50cf\u6240\u898b\u3092\u793a\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u75c5\u614b\u3084\u4ed6\u81d3\u5668\u75c5\u5909\u3068\u306e\u95a2\u9023\u306f\u7570\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><th>\u7279\u5fb4<\/th><th>1\u578bAIP<\/th><th>2\u578bAIP<\/th><\/tr><tr><td>\u75c5\u614b<\/td><td>IgG4\u95a2\u9023\u75be\u60a3\u306e\u81b5\u75c5\u5909<\/td><td>IgG4\u95a2\u9023\u75be\u60a3\u3068\u306f\u901a\u5e38\u7570\u306a\u308b<\/td><\/tr><tr><td>\u75c5\u7406\u7d44\u7e54<\/td><td>LPSP<\/td><td>IDCP<\/td><\/tr><tr><td>\u8840\u6e05IgG4<\/td><td>\u4e0a\u6607\u3059\u308b\u3053\u3068\u304c\u591a\u3044<\/td><td>\u901a\u5e38\u306f\u4e0a\u6607\u3057\u306a\u3044<\/td><\/tr><tr><td>\u597d\u767a\u5e74\u9f62<\/td><td>\u6bd4\u8f03\u7684\u9ad8\u9f62<\/td><td>\u6bd4\u8f03\u7684\u82e5\u5e74<\/td><\/tr><tr><td>\u4ed6\u81d3\u5668\u75c5\u5909<\/td><td>\u6d99\u817a\u30fb\u553e\u6db2\u817a\u3001\u80c6\u7ba1\u3001\u814e\u81d3\u306a\u3069<\/td><td>\u708e\u75c7\u6027\u8178\u75be\u60a3\u3068\u306e\u95a2\u9023<\/td><\/tr><tr><td>\u30b9\u30c6\u30ed\u30a4\u30c9\u53cd\u5fdc\u6027<\/td><td>\u826f\u597d\u306a\u3053\u3068\u304c\u591a\u3044<\/td><td>\u826f\u597d\u306a\u3053\u3068\u304c\u591a\u3044<\/td><\/tr><tr><td>\u518d\u767a<\/td><td>\u6bd4\u8f03\u7684\u591a\u3044<\/td><td>1\u578b\u3088\u308a\u5c11\u306a\u3044<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">1\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306f\u3001\u81b5\u81d3\u3060\u3051\u306b\u75c5\u5909\u304c\u5b58\u5728\u3059\u308b\u5834\u5408\u3068\u3001\u81b5\u81d3\u4ee5\u5916\u306b\u3082IgG4\u95a2\u9023\u75be\u60a3\u306e\u75c5\u5909\u3092\u4f34\u3046\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4f8b\u3048\u3070\u3001<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-2400\/\" target=\"_blank\" rel=\"noopener\">\u8996\u795e\u7d4c\u5468\u56f2\u306b\u816b\u7624\u6027\u75c5\u5909\u3092\u4f34\u3063\u305fIgG4\u95a2\u9023\u75be\u60a3\u306e\u75c7\u4f8b<\/a>\u3067\u306f\u3001\u6d99\u817a\u3084\u773c\u7aa9\u7d44\u7e54\u306b\u3082\u708e\u75c7\u6027\u75c5\u5909\u304c\u5f62\u6210\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306bIgG4\u95a2\u9023\u75be\u60a3\u306f\u3001\u81b5\u81d3\u306b\u9650\u3089\u305a\u3055\u307e\u3056\u307e\u306a\u81d3\u5668\u306b\u75c5\u5909\u3092\u751f\u3058\u3046\u308b\u5168\u8eab\u6027\u75be\u60a3\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u75c7\u4f8b\u3067\u306f\u3001\u539f\u8457\u306e\u8a18\u8f09\u4e0a\u3001\u81b5\u81d3\u4ee5\u5916\u306eIgG4\u95a2\u9023\u81d3\u5668\u75c5\u5909\u306f\u8a8d\u3081\u3089\u308c\u305a\u3001\u81b5\u81d3\u306b\u9650\u5c40\u3057\u305f\u75c5\u578b\u3068\u3057\u3066\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u81b5\u81d3\u306b\u9650\u5c40\u3057\u3066\u3044\u308b\u304b\u3089\u3068\u3044\u3063\u3066\u3001\u305d\u306e\u5f8c\u306e\u4ed6\u81d3\u5668\u75c5\u5909\u3084\u518d\u767a\u306e\u53ef\u80fd\u6027\u304c\u5b8c\u5168\u306b\u306a\u304f\u306a\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IgG4\u95a2\u9023\u75be\u60a3\u3067\u306f\u3001\u6d99\u817a\u30fb\u553e\u6db2\u817a\u3001\u80c6\u7ba1\u3001\u814e\u81d3\u3001\u5f8c\u8179\u819c\u306a\u3069\u306b\u52a0\u3048\u3001\u80ba\u3084\u80f8\u90ed\u5185\u30ea\u30f3\u30d1\u7bc0\u306b\u3082\u75c5\u5909\u304c\u751f\u3058\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f53\u9662\u306e\u95a2\u9023\u8a18\u4e8b\u300c<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-411\/\" target=\"_blank\" rel=\"noopener\">IgG4\u95a2\u9023\u75be\u60a3\u306e\u80f8\u90e8\u30ec\u30f3\u30c8\u30b2\u30f3\uff08X-p\uff09<\/a>\u300d\u3067\u306f\u3001\u80f8\u90e8\u7570\u5e38\u9670\u5f71\u3092\u5951\u6a5f\u306b\u8a3a\u65ad\u3055\u308c\u305f\u75c7\u4f8b\u3092\u7d39\u4ecb\u3057\u3066\u3044\u307e\u3059\u3002\u81b5\u75c5\u5909\u3068\u540c\u69d8\u306b\u3001\u60aa\u6027\u816b\u760d\u306a\u3069\u3068\u306e\u9451\u5225\u304c\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"562\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-179-edited.png\" alt=\"\u5168\u8eab\u306e\u81d3\u5668\u6a21\u5f0f\u56f3\u306b\u3001IgG4\u95a2\u9023\u75be\u60a3\u304c\u751f\u3058\u3046\u308b\u81b5\u81d3\u3001\u80c6\u7ba1\u3001\u6d99\u817a\u30fb\u553e\u6db2\u817a\u3001\u814e\u81d3\u3001\u5f8c\u8179\u819c\u3092\u8868\u793a\u3002\" class=\"wp-image-9551\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-179-edited.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-179-edited-400x281.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f34\uff1aIgG4\u95a2\u9023\u75be\u60a3\u306e\u81d3\u5668\u5206\u5e03\u30681\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u3002<\/strong> 1\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306fIgG4\u95a2\u9023\u75be\u60a3\u306e\u81b5\u75c5\u5909\u3068\u3057\u3066\u4f4d\u7f6e\u3065\u3051\u3089\u308c\u308b\u3002IgG4\u95a2\u9023\u75be\u60a3\u3067\u306f\u81b5\u81d3\u306e\u307b\u304b\u3001\u80c6\u7ba1\u3001\u6d99\u817a\u30fb\u553e\u6db2\u817a\u3001\u814e\u81d3\u3001\u5f8c\u8179\u819c\u306a\u3069\u306b\u75c5\u5909\u3092\u5f62\u6210\u3059\u308b\u5834\u5408\u304c\u3042\u308b\u3002\u56f3\u306fIgG4\u95a2\u9023\u75be\u60a3\u306e\u4ee3\u8868\u7684\u306a\u81d3\u5668\u75c5\u5909\u3092\u793a\u3059\u6a21\u5f0f\u56f3\u3067\u3042\u308a\u3001\u4eca\u56de\u306eNEJM\u75c7\u4f8b\u3067\u3053\u308c\u3089\u306e\u81d3\u5668\u3059\u3079\u3066\u306b\u75c5\u5909\u304c\u8a8d\u3081\u3089\u308c\u305f\u3053\u3068\u3092\u610f\u5473\u3057\u306a\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">7\uff0e\u6700\u3082\u91cd\u8981\u306a\u9451\u5225\u8a3a\u65ad\u306f\u81b5\u764c<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306e\u8a3a\u65ad\u3067\u6700\u3082\u6ce8\u610f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u306f\u3001\u81b5\u764c\u3068\u306e\u9451\u5225\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u81b5\u764c\u3067\u3082\u3001\u81b5\u81d3\u306e\u816b\u5927\u3001\u81b5\u7ba1\u3084\u80c6\u7ba1\u306e\u72ed\u7a84\u3001\u9589\u585e\u6027\u9ec4\u75b8\u306a\u3069\u3092\u8a8d\u3081\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306b\u3082\u9650\u5c40\u6027\u81b5\u816b\u5927\u3092\u5448\u3059\u308b\u75c7\u4f8b\u304c\u3042\u308a\u3001\u81b5\u764c\u306b\u985e\u4f3c\u3057\u305f\u753b\u50cf\u6240\u898b\u3092\u793a\u3059\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u306e\u305f\u3081\u3001\u753b\u50cf\u6240\u898b\u3060\u3051\u3067\u4e21\u8005\u3092\u5b8c\u5168\u306b\u533a\u5225\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u65e5\u672c\u306e\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u753b\u50cf\u3001\u8840\u6e05IgG4\u3001\u75c5\u7406\u3001\u4ed6\u81d3\u5668\u75c5\u5909\u306a\u3069\u3092\u7dcf\u5408\u3057\u305f\u8a3a\u65ad\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u30b9\u30c6\u30ed\u30a4\u30c9\u53cd\u5fdc\u6027\u3092\u8a3a\u65ad\u306b\u5229\u7528\u3059\u308b\u969b\u306e\u6ce8\u610f<\/h3>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u4eca\u56de\u306eNEJM\u75c7\u4f8b\u3067\u306f\u6cbb\u7642\u306b\u95a2\u9023\u3057\u305f\u6709\u5bb3\u4e8b\u8c61\u306b\u3064\u3044\u3066\u8a18\u8f09\u3055\u308c\u3066\u304a\u3089\u305a\u3001\u5b89\u5168\u6027\u306b\u3064\u3044\u3066\u8a55\u4fa1\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">9\uff0e\u6cbb\u7642\u5f8c\u3082\u91cd\u8981\u306a\u518d\u767a\u3068\u9577\u671f\u7ba1\u7406<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">1\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306f\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u6cbb\u7642\u306b\u3088\u308a\u6539\u5584\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u75be\u60a3\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u6539\u5584\u5f8c\u306b\u518d\u767a\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p 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https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-180-360x300.png 360w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-180-768x640.png 768w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-180.png 800w\" sizes=\"auto, (max-width: 720px) 100vw, 720px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f35\uff1a1\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306e\u8a3a\u65ad\u3068\u9577\u671f\u7ba1\u7406\u3002<\/strong> 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rel=\"noopener\">\u9ad8\u30c8\u30ea\u30b0\u30ea\u30bb\u30ea\u30c9\u8840\u75c7\u306b\u95a2\u9023\u3057\u305f\u91cd\u75c7\u6025\u6027\u81b5\u708e\u3068\u88ab\u5305\u5316\u81b5\u58ca\u6b7b\u306e\u75c7\u4f8b<\/a>\u3067\u306f\u3001\u81b5\u7d44\u7e54\u306e\u58ca\u6b7b\u3092\u4f34\u3046\u91cd\u7be4\u306a\u7d4c\u904e\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002IgG4\u95a2\u9023\u75be\u60a3\u306b\u3088\u308b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u3068\u306f\u767a\u75c7\u6a5f\u5e8f\u3084\u753b\u50cf\u6240\u898b\u3001\u6cbb\u7642\u65b9\u91dd\u304c\u7570\u306a\u308a\u3001\u75c5\u578b\u3092\u6b63\u78ba\u306b\u8a3a\u65ad\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u307e\u3068\u3081\uff1a\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306f\u753b\u50cf\u30fbIgG4\u30fb\u75c5\u7406\u3092\u7d71\u5408\u3057\u3066\u8a3a\u65ad\u3059\u308b\u75be\u60a3<\/h2>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u30d7\u30ec\u30c9\u30cb\u30be\u30ed\u30f3\u6cbb\u7642\u5f8c2\u304b\u6708\u3067\u3001\u81b5\u816b\u5927\u3001\u80c6\u7ba1\u72ed\u7a84\u3001\u75c7\u72b6\u3001\u809d\u80c6\u9053\u7cfb\u9175\u7d20\u306f\u3044\u305a\u308c\u3082\u6539\u5584\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u75c7\u4f8b\u306f\u30011\u578b\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306e\u753b\u50cf\u8a3a\u65ad\u3068\u6cbb\u7642\u53cd\u5fdc\u6027\u3092\u7406\u89e3\u3059\u308b\u3046\u3048\u3067\u91cd\u8981\u306a\u6559\u80b2\u7684\u4fa1\u5024\u3092\u6301\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u80f8\u90e8\u7570\u5e38\u9670\u5f71\u3092\u5951\u6a5f\u306b\u767a\u898b\u3055\u308c\u305fIgG4\u95a2\u9023\u75be\u60a3\u306e\u753b\u50cf\u8a3a\u65ad\u3092\u89e3\u8aac\u3057\u305f\u8a18\u4e8b\u3067\u3059\u3002IgG4\u95a2\u9023\u75be\u60a3\u306f\u80ba\u3084\u30ea\u30f3\u30d1\u7bc0\u306b\u3082\u75c5\u5909\u3092\u5f62\u6210\u3057\u3001\u60aa\u6027\u816b\u760d\u3084\u30ea\u30f3\u30d1\u5897\u6b96\u6027\u75be\u60a3\u3068\u306e\u9451\u5225\u304c\u554f\u984c\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u306b\u304a\u3051\u308b\u81b5\u764c\u3068\u306e\u9451\u5225\u3068\u5171\u901a\u3059\u308b\u3001\u753b\u50cf\u6240\u898b\u30fb\u7d44\u7e54\u691c\u67fb\u30fb\u5168\u8eab\u8a55\u4fa1\u306e\u91cd\u8981\u6027\u3092\u5b66\u3079\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2462 <a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-7071\/\">\u91cd\u75c7\u6025\u6027\u81b5\u708e\u3068\u88ab\u5305\u5316\u81b5\u58ca\u6b7b\uff5c\u9ad8\u30c8\u30ea\u30b0\u30ea\u30bb\u30ea\u30c9\u8840\u75c7\u306b\u3088\u308b\u81b5\u969c\u5bb3<\/a><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u9ad8\u30c8\u30ea\u30b0\u30ea\u30bb\u30ea\u30c9\u8840\u75c7\u306b\u95a2\u9023\u3059\u308b\u6025\u6027\u58ca\u6b7b\u6027\u81b5\u708e\u3068\u88ab\u5305\u5316\u81b5\u58ca\u6b7b\u3092\u53d6\u308a\u4e0a\u3052\u305f\u75c7\u4f8b\u3067\u3059\u3002\u81ea\u5df1\u514d\u75ab\u6027\u81b5\u708e\u3068\u306f\u767a\u75c7\u6a5f\u5e8f\u3084\u753b\u50cf\u6240\u898b\u3001\u6cbb\u7642\u65b9\u91dd\u304c\u5927\u304d\u304f\u7570\u306a\u308a\u307e\u3059\u3002\u540c\u3058\u81b5\u708e\u3067\u3082\u3001\u514d\u75ab\u4ecb\u5728\u6027\u708e\u75c7\u3068\u6d88\u5316\u9175\u7d20\u306b\u3088\u308b\u7d44\u7e54\u969c\u5bb3\u3092\u533a\u5225\u3057\u3066\u7406\u89e3\u3059\u308b\u3046\u3048\u3067\u53c2\u8003\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u4e00\u6b21\u6587\u732e\u30fb\u51fa\u5178<\/h2>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<h3 class=\"wp-block-heading\">\u539f\u8457\u8ad6\u6587<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Kayashima A, Horibe M. Type 1 Autoimmune Pancreatitis. N Engl J Med. 2026;395(6):592.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DOI\uff1a<a href=\"https:\/\/doi.org\/10.1056\/NEJMicm2604806\" target=\"_blank\" rel=\"noopener\">10.1056\/NEJMicm2604806<\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u8a3a\u65ad\u30fb\u6cbb\u7642\u306e\u88dc\u8db3\u6587\u732e<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">1. Okazaki K, et al. Amendment of the Japanese consensus guidelines for autoimmune pancreatitis, 2020. J Gastroenterol. 2022.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8938398\" target=\"_blank\" rel=\"noopener\">\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u5168\u6587<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2. Japanese Clinical Diagnostic Criteria for Autoimmune Pancreatitis, 2018. J Gastroenterol. 2020.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6946098\/\" target=\"_blank\" rel=\"noopener\">\u8a3a\u65ad\u57fa\u6e96\u5168\u6587<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u304a\u3001\u672c\u6587\u306b\u8a18\u8f09\u3057\u305f\u4e00\u822c\u7684\u306a\u30b9\u30c6\u30ed\u30a4\u30c9\u7528\u91cf\u3001\u7dad\u6301\u7642\u6cd5\u3001\u518d\u767a\u76e3\u8996\u3001\u81b5\u764c\u3068\u306e\u9451\u5225\u306b\u95a2\u3059\u308b\u63a8\u5968\u306f\u3001NEJM\u306e1\u75c7\u4f8b\u3067\u306f\u306a\u304f\u4e0a\u8a18\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u6839\u62e0\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<\/blockquote>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div 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