Case #5 Dr. Laura Lamps A 67 year old African-American female with a history of coronary artery atherosclerosis and refractory atrial fibrillation presented.

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Presentation transcript:

Case #5 Dr. Laura Lamps A 67 year old African-American female with a history of coronary artery atherosclerosis and refractory atrial fibrillation presented to her primary care physician with epigastric pain and nausea. She was treated with Phenergan and lab work was drawn, showing an AST of 353, ALT 272, alkaline phosphatase 443, bilirubin 5.3. ANA was 1:640, but other autoimmune serologies were negative. Alpha-1- antitrypsin was also elevated. Viral serologies were negative. The next week her blood work was rechecked, and her enzymes were higher than before. A liver biopsy was performed.

EUS image of autoimmune pancreatitis 2

EUS image of autoimmune pancreatitis 3

EUS image of autoimmune pancreatitis 4

EUS image of autoimmune pancreatitis 5

EUS image of autoimmune pancreatitis 6