{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:13:32Z","timestamp":1790187212137,"version":"4.1.0"},"reference-count":20,"publisher":"BMJ","funder":[{"DOI":"10.13039\/501100011912","name":"Taipei Veterans General Hospital","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100011912","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,5,11]]},"abstract":"<jats:p>An 85-year-old man presented with a pale appearance and generalised pruritic papules. Laboratory investigations disclosed eosinophilia, autoimmune haemolytic anaemia, mixed hyperbilirubinaemia, cholestasis and elevated serum IgG4 levels. Abdominal sonography and CT showed progressive dilatation of biliary trees, with diffuse pancreatic enlargement and a subtle capsule-like low-density rim around the pancreatic head and body. Endoscopic retrograde cholangiopancreatography found no stone-related biliary obstruction, while endoscopic transpapillary biopsy demonstrated chronic inflammation only. Nevertheless, the diagnosis of IgG4-related disease with coexisting autoimmune haemolytic anaemia was presumed. The clinical picture and laboratory abnormalities improved after administration of moderate dose of methylprednisolone.<\/jats:p>","DOI":"10.1136\/bcr-2018-224814","type":"journal-article","created":{"date-parts":[[2018,7,7]],"date-time":"2018-07-07T06:57:41Z","timestamp":1530946661000},"page":"bcr-2018-224814","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["IgG4-related disease coexisting with autoimmune haemolytic anaemia"],"prefix":"10.1136","volume":"2018","author":[{"given":"Kai-Chun","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsien-Tzung","family":"Liao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4154-4018","authenticated-orcid":false,"given":"Chang-Youh","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,7,6]]},"reference":[{"key":"2025042705275846000_2018.jul06_1.bcr-2018-224814.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60720-0"},{"key":"2025042705275846000_2018.jul06_1.bcr-2018-224814.2","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1007\/s00534-010-0320-2","article-title":"Diagnostic procedures for IgG4-related sclerosing cholangitis","volume":"18","author":"Nakazawa","year":"2011","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"2025042705275846000_2018.jul06_1.bcr-2018-224814.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2015.03.020"},{"key":"2025042705275846000_2018.jul06_1.bcr-2018-224814.4","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1684\/ejd.2013.1958","article-title":"IgG4-related skin manifestations in patients with IgG4-related disease","volume":"23","author":"Ikeda","year":"2013","journal-title":"Eur J Dermatol"},{"key":"2025042705275846000_2018.jul06_1.bcr-2018-224814.5","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0b013e3182142fd2"},{"key":"2025042705275846000_2018.jul06_1.bcr-2018-224814.6","doi-asserted-by":"publisher","DOI":"10.1097\/01.mpa.0000202941.85955.07"},{"key":"2025042705275846000_2018.jul06_1.bcr-2018-224814.7","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1186\/s12891-015-0584-4","article-title":"Screening for IgG4-type anti-nuclear antibodies in IgG4-related disease","volume":"16","author":"Kiyama","year":"2015","journal-title":"BMC Musculoskelet Disord"},{"key":"2025042705275846000_2018.jul06_1.bcr-2018-224814.8","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.jaut.2012.01.007","article-title":"The immunobiology and clinical characteristics of IgG4-related diseases","volume":"39","author":"Takahashi","year":"2012","journal-title":"J Autoimmun"},{"key":"2025042705275846000_2018.jul06_1.bcr-2018-224814.9","first-page":"316","article-title":"Autoimmune pancreatitis with autoimmune hemolytic anemia","volume":"33","author":"Al-Saif","year":"2006","journal-title":"Pancreas"},{"key":"2025042705275846000_2018.jul06_1.bcr-2018-224814.10","first-page":"698","article-title":"[Case of autoimmune pancreatitis accompanied by autoimmune hemolytic anemia]","volume":"106","author":"Yokomichi","year":"2009","journal-title":"Nihon Shokakibyo Gakkai Zasshi"},{"key":"2025042705275846000_2018.jul06_1.bcr-2018-224814.11","doi-asserted-by":"crossref","first-page":"8740","DOI":"10.3748\/wjg.v20.i26.8740","article-title":"First case of IgG4-related sclerosing cholangitis associated with autoimmune hemolytic anemia","volume":"20","author":"Masutani","year":"2014","journal-title":"World J Gastroenterol"},{"key":"2025042705275846000_2018.jul06_1.bcr-2018-224814.12","doi-asserted-by":"crossref","unstructured":"Yoshida M , Marumo Y , Naitoh I , et al . 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