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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Autoimmune Pancreatitis,stent Removed From Bile Duct,central Serous Retinopathy And Lattices In Both Eyes

Dear Doctor, I am having Autoimmune pancreatitis . I am under treatment now since 2 months. I am taking creaon 0000mg 6 tabs a day and omnacortil 40 mg/ day and got tappered to 5 mg/ day. Now i am going to stop steriod in another 3 days. My recent CT Abdomen shows good improvement in pancreas , gall bladder , bile duct etc. I got my stent also removed from bile duct. I got my eyes affected because of steriod and now I have CSR and lattices in both eyes for which no treatment taken. Dr said they can review after stopping steriod. Is there any chances of AIP relapsing? what is the treatment for me now?
Tue, 15 May 2012
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General & Family Physician,  's  Response
Hi Vsraman,
CSR, usually has a good prognosis. 90% of cases after withdrawal of steroid recovers completely within 6 months. For your faster relief, you may be prescribed low dose of Aspirin. Slight impairment of vision, specially night vision and color blindness can persist.
If your eye condition do not improve, you may have to undergo laser surgery for the eyes.
Relapse of Autoimmune pancreatitis can occur in 20-30% cases, which may require prolonged course of corticosteroid. Chances of relapses are more if there is an involvement of extrahepatic or intrahepatic bile duct.
One thing to remember is that in case you have to start again the steroid , your doctor must closely monitor the doses and blood levels of the steroid, because it is directly related to your chances of CIS.
Wish you good health
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Autoimmune Pancreatitis,stent Removed From Bile Duct,central Serous Retinopathy And Lattices In Both Eyes

Hi Vsraman, CSR, usually has a good prognosis. 90% of cases after withdrawal of steroid recovers completely within 6 months. For your faster relief, you may be prescribed low dose of Aspirin. Slight impairment of vision, specially night vision and color blindness can persist. If your eye condition do not improve, you may have to undergo laser surgery for the eyes. Relapse of Autoimmune pancreatitis can occur in 20-30% cases, which may require prolonged course of corticosteroid. Chances of relapses are more if there is an involvement of extrahepatic or intrahepatic bile duct. One thing to remember is that in case you have to start again the steroid , your doctor must closely monitor the doses and blood levels of the steroid, because it is directly related to your chances of CIS. Wish you good health