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lüll Ulcerative colitis and immunoglobulin G4 Kuwata G; Kamisawa T; Koizumi K; Tabata T; Hara S; Kuruma S; Fujiwara T; Chiba K; Egashira H; Fujiwara J; Arakawa T; Momma K; Horiguchi SGut Liver 2014[Jan]; 8 (1): 29-34BACKGROUND/AIMS: Ulcerative colitis (UC) is sometimes associated with autoimmune pancreatitis (AIP). Infiltration of immunoglobulin G4 (IgG4)-positive plasma cells is sometimes detected in the colonic mucosa of AIP or UC patients. This study aimed to clarify the relation between UC and IgG4. METHODS: Associations with UC were reviewed in 85 AIP patients. IgG4 immunostaining was performed on biopsy specimens from the colonic mucosa of 14 AIP and 32 UC patients. RESULTS: UC was confirmed in two cases (type 1 AIP, n=1; suspected type 2 AIP, n=1). Abundant infiltration of IgG4-positive plasma cells in the colonic mucosa was detected in the case of suspected type 2 AIP with UC and two cases of type 1 AIP without colitis. Abundant infiltration of IgG4-positive plasma cells was detected in 10 UC cases (IgG4-present, 31%). Although 72% of IgG4-absent UC patients showed mild disease activity, 70% of IgG4-present patients showed moderate to severe disease activity (p<0.05). CONCLUSIONS: UC is sometimes associated with AIP, but it seems that UC is not a manifestation of IgG4-related disease. Infiltration of IgG4-positive plasma cells is sometimes detectable in the colonic mucosa of UC patients and is associated with disease activity.|Adult[MESH]|Aged[MESH]|Colitis, Ulcerative/*blood/complications[MESH]|Colon/*chemistry[MESH]|Female[MESH]|Humans[MESH]|Immunoglobulin G/*analysis[MESH]|Intestinal Mucosa/*chemistry[MESH]|Male[MESH]|Middle Aged[MESH]|Pancreatitis/*blood/complications[MESH]|Retrospective Studies[MESH] |