Tacrolimus as a Reasonable Alternative in a Patient with Steroid-Dependent and Thiopurine-Refractory Autoimmune Pancreatitis with IgG4-Associated Cholangitis

Background: More recently, autoimmune pancreatitis (AIP) in association with IgG4-positive cholangitis (IAC) has been recognised as a new and challenging entity. Currently, initiation of high dose steroids (e. g., prednisolone 0.5 − 1 mg/kg/day) followed by a steroid dose taper in combination with purine antagonists (e. g., azathioprine or 6-mercaptopurine) after resolution has been recommended as standard therapy. Case Report: A...