췌장성 지방층염을 동반한 췌장염 - 1예 보고 -
A Case of Pancreatitis Presenting with Pancreatic Panniculitis - A Case Report -
김성현, 장선희, 박혜진,
소속 상세정보
김성현 ( Kim Seong-Hyun )
인제대학교 의과대학 일산백병원 피부과학교실
장선희 ( Chang Sun-Hee )
인제대학교 의과대학 일산백병원 병리과
박혜진 ( Park Hai-Jin )
인제대학교 의과대학 일산백병원 피부과학교실
KMID : 0357920090430060566
Abstract
Pancreatic panniculitis is a rare disease in which necrosis of fat in the panniculus and other distant foci occur in the setting of pancreatic disease. The most common pancreatic disorders associated with pancreatic panniculitis are acute and chronic pancreatitis, especially the alcohol-related types and pancreatic carcinoma. We now report a case of pancreatic panniculitis in which skin eruptions, not abdominal symptoms, were the presenting symptom. A 45-year-old man presented with multiple erythematous tender subcutaneous nodules on the shins, arthralgia of both ankles and swelling of the left foot. He was diagnosed as having pancreatitis 15 months ago. Histopathologic findings of a skin biopsy showed focal fat necrosis with anucleated "ghost-like" fat cells with a thick shadowy wall. Laboratory evaluation revealed an increase in serum amylase and lipase. We diagnosed this patient’s problem as pancreatic panniculitis associated with a relapse of pancreatitis.
키워드
Pancreas;Panniculitis
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