nach oben

Skeletal Radiology

Erschienen in:

07.12.2016 | Case Report

Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome: MRI features of intraosseous fat necrosis involving the feet and knees

verfasst von: Dong Joo Kang, Sun Joo Lee, Hye Jung Choo, Minyoung Her, Hye Kyoung Yoon

Erschienen in: Skeletal Radiology | Ausgabe 2/2017

Einloggen, um Zugang zu erhalten

Abstract

Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome is extremely rare and presents as a triad of the three diseases. The patient usually presents with mild or absent abdominal symptoms. Here, we report on a case of a 66-year-old male who presented with pain and swelling in both legs and mild abdominal pain. He was diagnosed with acute pancreatitis by pancreatic enzyme analysis and abdominal computed tomography (CT) and with skin lesions of panniculitis through a biopsy. Magnetic resonance imaging (MRI) revealed multifocal intraosseous fat necrosis and arthritis involving both the feet and the knees. Therefore, we report a case of PPP syndrome with intraosseous fat necrosis involving both the feet and the knees.

Narváez J, Bianchi MM, Santo P, et al. Pancreatitis, panniculitis, and polyarthritis. Semin Arthritis Rheum. 2010;39(5):417–23.CrossRefPubMed

Chiari H. Uber die sogenannte fettnecrose. Prager Medizinishe Wochenschrift. 1883;8:285–6.

Dahl PR, Su WP, Cullimore KC, Dicken CH. Pancreatic panniculitis. J Am Acad Dermatol. 1995;33(3):413–7.CrossRefPubMed

Vasdev V, Bhakuni D, Narayanan K, Jain R. Intramedullary fat necrosis, polyarthritis and panniculitis with pancreatic tumor: a case report. Int J Rheum Dis. 2010;13:e74–8.CrossRefPubMed

Chee C. Panniculitis in a patient presenting with a pancreatic tumour and polyarthritis: a case report. J Med Case Rep. 2009;3:7331.CrossRefPubMedPubMedCentral

Poelman SM, Nguyen K. Pancreatic panniculitis associated with acinar cell pancreatic carcinoma. J Cutan Med Surg. 2008;12(1):38–42.PubMed

Lin C-F, Chiu Y-M. Pancreatitis, panniculitis, and polyarthritis syndrome presenting with gouty arthritis: a case report. J Med Cases. 2011;2(3):110–2.

Mourad FH, Hannoush HM, Bahlawan M, Uthman I, Uthman S. Panniculitis and arthritis as the presenting manifestation of chronic pancreatitis. J Clin Gastroenterol. 2001;32(3):259–61.CrossRefPubMed

Karasick D, Schweitzer ME. Case4: Intraosseous fat necrosis associated with pancreatitis. Radiology. 1998;209(2):521–4.CrossRefPubMed

10.

Radin DR, Colletti PM, Forrester DM, Tang WW. Pancreatic acinar cell carcinoma with subcutaneous and intraosseous fat necrosis. Radiology. 1986;158(1):67–8.CrossRefPubMed

11.

Haller J, Greenway G, Resnick D, Kindynis P, Kang HS. Intraosseous fat necrosis associated with acute pancreatitis: MR imaging. Radiology. 1989;173(1):193–5.CrossRefPubMed

12.

Opsmer D, Suttels V, De Keyser K, et al. Pancreatic disease, panniculitis and polyarthritis (PPP) syndrome: a case report and review of the literature. Belg J Med Oncol. 2001;5:154–8.

13.

Price-Forbes AN, Filer A, Udeshi UL, Rai A. Progression of imaging in pancreatitis panniculitis polyarthritis (PPP) syndrome. Scand J Rheumatol. 2006;35(1):72–4.CrossRefPubMed

14.

Kocabas H, Alkan Melikoglu M, Sezer I, Gurbuz U, Kacar C, Butun B. Acute pancreatitis presenting with polyarthritis and intraosseous fat necrosis: a case report. Turk J Rheumatol. 2010;25(4):221–4.CrossRef

15.

Hammar AM, Sand J, Lumio J, et al. Pancreatic pseudocystportal vein fistula manifests as residivating oligoarthritis, subcutaneous, bursal and osseal necrosis: a case report and review of literature. Hepato-Gastroenterology. 2002;49(43):273–8.PubMed

16.

Katz SJ, Kydd A, Yacyshyn EA. Pancreatitis, panniculitis and polyarthritis. Case Rep Intern Med. 2014;1(1):1.

17.

Fabbri D, Campana D, Santini D, Casadei R, De Giorgio R, Tomassetti P. A rare case of Pancreatitis, Panniculitis and Polyarthritis: the P-P-P Syndrome. J Gastrointest Dig Syst. 2015;5(6).

18.

Arbeláez-Cortés A, Vanegas-García AL, Restrepo-Escobar M, Correa-Londoño LA, González-Naranjo LA. Polyarthritis and pancreatic panniculitis associated with pancreatic carcinoma: review of the literature. J Clin Rheumatol. 2014;20(8):433–6.CrossRefPubMed

19.

Takechi Y, Shinozaki T, Fukuda T, Asami K, Yanagawa T, Takagishi K. Multiple subcutaneous inflammation, osteolysis, and polyarthritis. Skelet Radiol. 2010;39(6):581–2.CrossRef

20.

Borowicz J, Morrison M, Hogan D, Miller R. Subcutaneous fat necrosis/panniculitis and polyarthritis associated with acinar cell carcinoma of the pancreas: a rare presentation of pancreatitis, panniculitis and polyarthritis syndrome. J Drugs Dermatol. 2010;9(9):1145–50.PubMed

21.

Simkin PA, Brunzell JD, Wisner D, Fiechtner JJ, Carlin JS, Willkens DF. Free fatty acids in the pancreatitic arthritis syndrome. Arthritis Rheum. 1983;26(2):127–32.CrossRefPubMed

22.

Shbeeb MI, Duffy J, Bjornsson J, Ashby AM, Matteson EL. Subcutaneous fat necrosis and polyarthritis associated with pancreatic disease. Arthritis Rheum. 1996;39(11):1922–5.CrossRefPubMed

23.

Loverdos I, Swan MC, Shekherdimian S, et al. A case of pancreatitis, panniculitis and polyarthritis syndrome: elucidating the pathophysiologic mechanisms of a rare condition. J Pediatr Surg Case Rep. 2015;3(5):223–6.CrossRefPubMedPubMedCentral

24.

Neves Z, Segura U, Valente A, Pacheco MH, Malhado J. Panniculitis – a rare manifestation of acute pancreatitis. GE Portuguese J Gastroenterol. 2015;22(3):117–20.CrossRef

25.

Laureano A, Mestre T, Ricardo L, Rodrigues AM, Cardoso J. Pancreatic panniculitis—a cutaneous manifestation of acute pancreatitis. J Dermatol Case Rep. 2014;8(1):35–7.CrossRefPubMedPubMedCentral

Titel: Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome: MRI features of intraosseous fat necrosis involving the feet and knees
verfasst von: Dong Joo Kang
Sun Joo Lee
Hye Jung Choo
Minyoung Her
Hye Kyoung Yoon
Publikationsdatum: 07.12.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Skeletal Radiology / Ausgabe 2/2017
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-016-2549-6

Neu im Fachgebiet Radiologie

23.04.2024 | Pankreaskarzinom | Nachrichten

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome: MRI features of intraosseous fat necrosis involving the feet and knees

Abstract

Neu im Fachgebiet Radiologie

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Update Radiologie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2017

Pre-authorization processes have no effect on patients undergoing knee MRI in a pediatric setting when evaluated by specialists

MRI in flexor tendon rupture after collagenase injection

Newborn with rhizomelia and ﻿difficulty breathing

Responses to letters to the editor for “Fluoroscopically guided retrocalcaneal bursa steroid injection: description of the technique and pilot study of short-term patient outcomes”

Osteitis: a retrospective feasibility study comparing single-source dual-energy CT to MRI in selected patients with suspected acute gout

Anterior cruciate ligament reconstruction tunnel size: causes of tunnel enlargement and implications for single versus two-stage revision reconstruction

Neu im Fachgebiet Radiologie

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Update Radiologie

Newborn with rhizomelia and difficulty breathing