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. 2008 Oct;22(10):840–846. doi: 10.1155/2008/586173

TABLE 1.

HISORt diagnostic criteria for autoimmune pancreatitis (AIP) and immunoglobulin G4 (IgG4)-associated cholangitis (IAC)

AIP IAC
Histology
  • Plasmacytic infiltrate with =10 IgG4-positive cells cells/HPF

  • Periductal infiltrate with obliterative phlebitis and storiform fibrosis

Histology
  • Plasmacytic sclerosing cholangitis with =10 IgG4-positive cells/HPF

  • Obliterative phlebitis and storiform fibrosis

Imaging
  • Diffusely enlarged pancreas with delayed (rim) enhancement with irregular, attenuated main pancreatic duct

  • Variants with focal pancreatic mass, focal pancreatic duct stricture, pancreatic atrophy, pancreatic calcification or pancreatitis

Imaging
  • Strictures involving intrahepatic, proximal extrahepatic or intrapancreatic bile ducts

  • Fleeting/migrating biliary strictures

Serology
  • Elevated serum IgG4 level (>140 g/L)

Serology
  • Elevated serum IgG4 level (>140 g/L)

Other organ involvement
  • Hilar, intrahepatic or distal biliary strictures

  • Parotid and lacrimal gland

  • Mediastinal lymphadenopathy

  • Retroperitoneal fibrosis

Other organ involvement
  • Features of AIP on imaging or histology

  • Retroperitoneal fibrosis

  • Renal lesions

  • Salivary/lacrimal gland enlargement

Response to steroid therapy
  • Resolution or marked improvement of pancreatic and extrapancreatic manifestations

Response to steroid therapy
  • Normalization of liver enzyme levels or resolution of biliary stricture

HISORt Histology, imaging, serology, organ involvement and response to steroid therapy; HPF High-power field. Adapted with permission from reference 43