Pancreatic Panniculitis – case report
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://revista.spcir.com/index.php/spcir/article/view/118 |
Resumo: | A 65-years-old female admitted on general surgery with acute pancreatitis, complicated with painful, erythematous and subcutaneous nodules, located on the legs, followed by poliarthritis. The combination of clinical and laboratory data as well as the results of skin biopsy confirmed the diagnosis of pancreatic panniculitis. The patient was treated with conservative therapy only led to her underlying pathology. A successful outcome and disappearance of the lesions were registered. Pancreatic panniculitis is a rare disorder that affects a small number of patients with pancreatic disorders, particularly pancreatitis (acute and chronic) and carcinoma of the pancreas. The disease is characterized by necrosis of subcutaneous adipose tissue and manifests itself usually by subcutaneous, erythematous and painful nodules, located preferentially on the lower limbs, and in more than half of the cases, there is inflammation of the periarticular fat. In the most cases, histopathology reveals lobular panniculitis and fat cells without nuclei (ghost cells). Treatment is conservative, aimed at the underlying pathology. Keywords: acute pancreatitis, pancreatic carcinoma, panniculitis, ghost cells. |
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Pancreatic Panniculitis – case reportPaniculite Pancreática – caso clínicoA 65-years-old female admitted on general surgery with acute pancreatitis, complicated with painful, erythematous and subcutaneous nodules, located on the legs, followed by poliarthritis. The combination of clinical and laboratory data as well as the results of skin biopsy confirmed the diagnosis of pancreatic panniculitis. The patient was treated with conservative therapy only led to her underlying pathology. A successful outcome and disappearance of the lesions were registered. Pancreatic panniculitis is a rare disorder that affects a small number of patients with pancreatic disorders, particularly pancreatitis (acute and chronic) and carcinoma of the pancreas. The disease is characterized by necrosis of subcutaneous adipose tissue and manifests itself usually by subcutaneous, erythematous and painful nodules, located preferentially on the lower limbs, and in more than half of the cases, there is inflammation of the periarticular fat. In the most cases, histopathology reveals lobular panniculitis and fat cells without nuclei (ghost cells). Treatment is conservative, aimed at the underlying pathology. Keywords: acute pancreatitis, pancreatic carcinoma, panniculitis, ghost cells. Doente do sexo feminino, de 65 anos, internada no serviço de Cirurgia Geral por quadro de pancreatite aguda, complicado de nódulos subcutâneos, eritematosos, dolorosos, localizados nas pernas, acompanhados de poliartralgias. A conjugação dos dados clínicos e analíticos com o resultado da biópsia cutânea permitiu estabelecer o diagnóstico definitivo de paniculite pancreática. A paciente beneficiou apenas de terapêutica conservadora dirigida à patologia de base. Registou-se evolução clínica favorável com desaparecimento total das lesões. A paniculite pancreática é uma entidade clínica rara que afecta um número reduzido de doentes com distúrbio pancreático, particularmente pancreatite (aguda e crónica) e carcinoma do pâncreas. A doença caracteriza-se por necrose do tecido adiposo subcutâneo e manifesta-se, geralmente, por nódulos subcutâneos, eritematosos, dolorosos, localizados preferencialmente aos membros inferiores e, em mais de metade dos casos, verifica-se inflamação da gordura periarticular. O exame histopatológico, na maioria das vezes, revela paniculite lobular e adipócitos anucleados (“ghost cells”). O tratamento é conservador e direccionado à patologia de base. Palavras-chave: pancreatite aguda; carcinoma pancreático; paniculite; “ghost cells”. Sociedade Portuguesa de Cirurgia2010-12-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spcir.com/index.php/spcir/article/view/118Revista Portuguesa de Cirurgia; No 15 (2010): Dezembro 2010 - II Série; 31-34Revista Portuguesa de Cirurgia; No 15 (2010): Dezembro 2010 - II Série; 31-342183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spcir.com/index.php/spcir/article/view/118https://revista.spcir.com/index.php/spcir/article/view/118/116Copyright (c) 2016 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessTavares, Ermelindo SilvaParente, Joana Alexandra DevesaVera-Cruz, Frederico PintoLima, José NunesAranha, João Manuel PiresEstrela, António Pedro Fernandes2024-03-14T22:05:42Zoai:revista.spcir.com:article/118Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:57.590128Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Pancreatic Panniculitis – case report Paniculite Pancreática – caso clínico |
title |
Pancreatic Panniculitis – case report |
spellingShingle |
Pancreatic Panniculitis – case report Tavares, Ermelindo Silva |
title_short |
Pancreatic Panniculitis – case report |
title_full |
Pancreatic Panniculitis – case report |
title_fullStr |
Pancreatic Panniculitis – case report |
title_full_unstemmed |
Pancreatic Panniculitis – case report |
title_sort |
Pancreatic Panniculitis – case report |
author |
Tavares, Ermelindo Silva |
author_facet |
Tavares, Ermelindo Silva Parente, Joana Alexandra Devesa Vera-Cruz, Frederico Pinto Lima, José Nunes Aranha, João Manuel Pires Estrela, António Pedro Fernandes |
author_role |
author |
author2 |
Parente, Joana Alexandra Devesa Vera-Cruz, Frederico Pinto Lima, José Nunes Aranha, João Manuel Pires Estrela, António Pedro Fernandes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Tavares, Ermelindo Silva Parente, Joana Alexandra Devesa Vera-Cruz, Frederico Pinto Lima, José Nunes Aranha, João Manuel Pires Estrela, António Pedro Fernandes |
description |
A 65-years-old female admitted on general surgery with acute pancreatitis, complicated with painful, erythematous and subcutaneous nodules, located on the legs, followed by poliarthritis. The combination of clinical and laboratory data as well as the results of skin biopsy confirmed the diagnosis of pancreatic panniculitis. The patient was treated with conservative therapy only led to her underlying pathology. A successful outcome and disappearance of the lesions were registered. Pancreatic panniculitis is a rare disorder that affects a small number of patients with pancreatic disorders, particularly pancreatitis (acute and chronic) and carcinoma of the pancreas. The disease is characterized by necrosis of subcutaneous adipose tissue and manifests itself usually by subcutaneous, erythematous and painful nodules, located preferentially on the lower limbs, and in more than half of the cases, there is inflammation of the periarticular fat. In the most cases, histopathology reveals lobular panniculitis and fat cells without nuclei (ghost cells). Treatment is conservative, aimed at the underlying pathology. Keywords: acute pancreatitis, pancreatic carcinoma, panniculitis, ghost cells. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-12-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/118 |
url |
https://revista.spcir.com/index.php/spcir/article/view/118 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/118 https://revista.spcir.com/index.php/spcir/article/view/118/116 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2016 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2016 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 15 (2010): Dezembro 2010 - II Série; 31-34 Revista Portuguesa de Cirurgia; No 15 (2010): Dezembro 2010 - II Série; 31-34 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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