Panniculitis - a Rare Manifestation of Acute Pancreatitis

Detalhes bibliográficos
Autor(a) principal: Neves, Z
Data de Publicação: 2015
Outros Autores: Segura, U, Valente, A, Pacheco, MH, Malhado, JA
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.17/2631
Resumo: Pancreatic panniculitis is a rare skin disorder that occurs in 2---3% of pancreatic diseases, mostly associated with acute or chronic pancreatitis. Its pathophysiology is still unclear, but the release of pancreatic enzymes in circulation can be responsible for this disorder. The typical histological features are adipocyte necrosis with neutrophils infiltrate and typical ‘‘ghost cells’’. Its treatment, clinical course and prognosis are usually related with the pancreatic disease. We present a case of a 39-year-old man who presented with fever, abdominal pain, nausea and vomiting after a copious alcohol ingestion. Acute alcohol-induced pancreatitis was diagnosed. 9 days after admission he developed tender erythematous subcutaneous nodules, whose biopsy was consistent with pancreatic panniculitis. There was clinical and laboratory improvement with supportive treatment as well as skin nodules regression. Although pancreatic panniculitis is a rare condition, physicians must be aware of it to avoid delay in the diagnosis.
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spelling Panniculitis - a Rare Manifestation of Acute PancreatitisPaniculite - uma Manifestação Rara de Pancreatite AgudaHCC MEDAcute DiseasesPanniculitisPancreatic DiseasesPancreatitisPancreatic panniculitis is a rare skin disorder that occurs in 2---3% of pancreatic diseases, mostly associated with acute or chronic pancreatitis. Its pathophysiology is still unclear, but the release of pancreatic enzymes in circulation can be responsible for this disorder. The typical histological features are adipocyte necrosis with neutrophils infiltrate and typical ‘‘ghost cells’’. Its treatment, clinical course and prognosis are usually related with the pancreatic disease. We present a case of a 39-year-old man who presented with fever, abdominal pain, nausea and vomiting after a copious alcohol ingestion. Acute alcohol-induced pancreatitis was diagnosed. 9 days after admission he developed tender erythematous subcutaneous nodules, whose biopsy was consistent with pancreatic panniculitis. There was clinical and laboratory improvement with supportive treatment as well as skin nodules regression. Although pancreatic panniculitis is a rare condition, physicians must be aware of it to avoid delay in the diagnosis.Elsevier EspañaRepositório do Centro Hospitalar Universitário de Lisboa Central, EPENeves, ZSegura, UValente, APacheco, MHMalhado, JA2017-02-21T11:28:47Z20152015-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/2631engGE Port J Gastroenterol. 2015;22(3):117-120info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:38:47Zoai:repositorio.chlc.min-saude.pt:10400.17/2631Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:19:58.487888Repositório 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 Panniculitis - a Rare Manifestation of Acute Pancreatitis
Paniculite - uma Manifestação Rara de Pancreatite Aguda
title Panniculitis - a Rare Manifestation of Acute Pancreatitis
spellingShingle Panniculitis - a Rare Manifestation of Acute Pancreatitis
Neves, Z
HCC MED
Acute Diseases
Panniculitis
Pancreatic Diseases
Pancreatitis
title_short Panniculitis - a Rare Manifestation of Acute Pancreatitis
title_full Panniculitis - a Rare Manifestation of Acute Pancreatitis
title_fullStr Panniculitis - a Rare Manifestation of Acute Pancreatitis
title_full_unstemmed Panniculitis - a Rare Manifestation of Acute Pancreatitis
title_sort Panniculitis - a Rare Manifestation of Acute Pancreatitis
author Neves, Z
author_facet Neves, Z
Segura, U
Valente, A
Pacheco, MH
Malhado, JA
author_role author
author2 Segura, U
Valente, A
Pacheco, MH
Malhado, JA
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE
dc.contributor.author.fl_str_mv Neves, Z
Segura, U
Valente, A
Pacheco, MH
Malhado, JA
dc.subject.por.fl_str_mv HCC MED
Acute Diseases
Panniculitis
Pancreatic Diseases
Pancreatitis
topic HCC MED
Acute Diseases
Panniculitis
Pancreatic Diseases
Pancreatitis
description Pancreatic panniculitis is a rare skin disorder that occurs in 2---3% of pancreatic diseases, mostly associated with acute or chronic pancreatitis. Its pathophysiology is still unclear, but the release of pancreatic enzymes in circulation can be responsible for this disorder. The typical histological features are adipocyte necrosis with neutrophils infiltrate and typical ‘‘ghost cells’’. Its treatment, clinical course and prognosis are usually related with the pancreatic disease. We present a case of a 39-year-old man who presented with fever, abdominal pain, nausea and vomiting after a copious alcohol ingestion. Acute alcohol-induced pancreatitis was diagnosed. 9 days after admission he developed tender erythematous subcutaneous nodules, whose biopsy was consistent with pancreatic panniculitis. There was clinical and laboratory improvement with supportive treatment as well as skin nodules regression. Although pancreatic panniculitis is a rare condition, physicians must be aware of it to avoid delay in the diagnosis.
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-01-01T00:00:00Z
2017-02-21T11:28:47Z
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 http://hdl.handle.net/10400.17/2631
url http://hdl.handle.net/10400.17/2631
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv GE Port J Gastroenterol. 2015;22(3):117-120
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dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier España
publisher.none.fl_str_mv Elsevier España
dc.source.none.fl_str_mv 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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instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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