Pancreatitis, panniculitis and polyarthritis
نویسندگان
چکیده
Objectives: To present a case of pancreatitis, panniculitis and polyarthritis syndome, including the full spectrum of the arthritis component. Methods: A case of PPP syndrome was examined, with a detailed review of the patient's synovial fluid aspirate including cell count, crystals, culture and a lipid analysis which was compared to a control patient. Results: The synovial fluid aspirate from PPP syndrome demonstrates unique crystal formation and higher lipids. Conclusion: PPP syndrome is a rare condition which can be difficult to diagnose. A lipid analysis of a patient's synovial fluid aspirate may be a useful tool to aid in the diagnosis.
منابع مشابه
Panniculitis, pancreatitis, and polyarthritis: a rare clinical syndrome.
A rare triad composed of lobular panniculitis in the setting of pancreatitis and polyarthritis is termed panniculitis, pancreatitis, and polyarthritis (PPP) syndrome. Pancreatic panniculitis is a rare form of subcutaneous fat necrosis associated with underlying pancreatic disease. We describe a case of PPP syndrome and review the relevant literature associated with this rare clinical syndrome. ...
متن کاملGut , 1962 , 3 , 146 Subcutaneous fat necrosis , ' polyarthritis ' , and pancreatic disease
Widespread panniculitis has already been described in association with acute pancreatitis (Chiari, 1883; Hansemann, 1889; Jenckel, 1914; Zaaijer, 1935; Scarselli, 1954; Kushner and Szanto, 1958; Cohen, 1959; Swerdlow, Berman, Gibbel, and Valaitis, 1960), with subacute pancreatitis (Blauvelt, 1946; Mayoral, Gompertz, and Young, 1959), and with carcinoma of pancreas (Berner, 1908; Hegler and Wohl...
متن کاملPancreatic disease, panniculitis, polyarthrtitis syndrome successfully treated with total pancreatectomy: Case report and literature review
INTRODUCTION Pancreatic disease can be complicated by extrabdominal manifestations such as panniculitis and polyarthritis. The symptomatic triad comprising pancreatic disease, panniculitis and polyarthritis is also known as PPP syndrome and is characterized by severe chronic sequels and high mortality rate. We describe a case of PPP syndrome successfully treated with spleen preserving total pan...
متن کاملA Rare Case of Pancreatitis, Panniculitis and Polyarthritis: The P-P-P Syndrome
A 70-year-old man was admitted to our Unit because of the onset of symmetric joint pain, and multiple cutaneous erythematous nodules localized to the lower extremities and gluteal region. An arthrocentesis excluded a septic arthritis and systemic and local steroid therapy resulted in a modest improvement of symptoms and cutaneous manifestations. For an acute abdominal pain with an elevation of ...
متن کامل'Pancreatitis, polyarthritis, panniculitis syndrome' (PPP syndrome) plus prolonged pyrexia--a rare presentation of chronic pancreatitis.
Pancreatitis presenting without abdominal pain is very unusual. Here we report a 70-year-old man with chronic calcific pancreatitis presented to us with prolonged fever, arthritis and multiple subcutaneous swellings, but without any abdominal pain or other abdominal symptoms. His serum amylase and lipase were very high. Biopsy from the subcutaneous swellings revealed fat necrosis and CT scan ab...
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