Pancreatic panniculitis as the first sign of pancreatic adenocarcinoma with liver metastases.

Authors

  • Munia García-Gómez Servicio de Medicina Interna, Hospital Alto Deba, Organización Sanitaria Integrada Debagoiena, Arrasate, Guipúzcoa, España
  • Alberto Montero-Rodríguez Servicio de Medicina Interna, Hospital Alto Deba, Organización Sanitaria Integrada Debagoiena, Arrasate, Guipúzcoa, España
  • Pedro Ángel Cuadros-Tito Servicio de Medicina Interna, Hospital Alto Deba, Organización Sanitaria Integrada Debagoiena, Arrasate, Guipúzcoa, España
  • Arantza Onaindia-Pérez Servicio de Anatomía Patológica, Hospital Universitario de Araba, Vitoria Gasteiz, España

DOI:

https://doi.org/10.32818/reccmi.a6n3a3

Keywords:

panniculitis, pancreas, carcinoma.

Abstract

Pancreatic panniculitis is a rare septal-lobular entity. It is characterized by the appearance of erythematous-violaceous lesions or ulcerated subcutaneous nodules, sometimes painful, more frequently located in the lower extremities. Pancreatic panniculitis is associated with pancreatic disorders and sometimes manifests as the first sign of concomitant pancreatic pathology: acute or chronic pancreatitis, pancreatic carcinoma, pancreatic pseudocysts, traumatic pancreatitis… The diagnosis is confirmed by pathological analysis.

We present the case of a 78-year-old man with subcutaneous nodules on the legs without other accompanying symptoms with a diagnosis of pancreatic panniculitis and findings of pancreatic adenocarcinoma with liver metastases in complementary tests.

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References

Segurado Rodríguez A, Guerra Tapia A, Jaén Olasolo P, Cuevas Santos J. Paniculitis pancreática: estudio de 12 casos y valoración comparativa de sus caracteres epidemiológicos, clínicos, histopatológicos y terapéuticos. Actas Dermosifiliogr. 1999; 90: 227-34. Accesible en: https://www.actasdermo.org/es-pdf-13003487 (último acceso: mayo 2021).

Bolognia JL, Schaffer JV, Cerroni L. Dermatología. 4ª edición. Elsevier. 2018; 100 (2): 1733-1757.

Requena L, Sánchez Yus E. Panniculitis. Part II. Mostly lobular panniculitis. J Am Acad Dermatol. 2001; 45(3): 325-61; quiz 362-4. doi: https://doi.org/10.1067/mjd.2001.114735.

de la Torre Gomar FJ, Heras González S, Pérez Rodríguez Á, S Enz Aguirre A, Martínez de Lagrán Álvarez de Arcaya Z. Paniculitis pancreática como forma de presentación de neoplasia localmente avanzada. Gastroenterol Hepatol. 2020; 43(6): 325-326. doi: https://doi.org/10.1016/j.gastrohep.2019.11.011.

Ballester R, De Unamuno B, Hernández P, Torrijos A, Alegre de Miguel V. Paniculitis pancreática. Revisión de 7 casos. Piel formación continuada en Dermatología (Barcelona). Elsevier. 2012; 27 (7): 367-371.

Zhang G, Cao Z, Yang G, Wu W, Zhang T, Zhao Y. Pancreatic panniculitis associated with pancreatic carcinoma: A case report. Medicine (Baltimore). 2016 Aug; 95(31): e4374. doi: https://doi.org/10.1097/MD.0000000000004374.

de Frutos Rosa D, Espinosa Taranilla L, González de Canales de Simón P, Vélez Velázquez MD, Guirado Koch C. Pancreatic panniculitis as a presentation symptom of acinar cell carcinoma. Rev Esp Enferm Dig. 2018; 110(5): 329-331. doi: https://doi.org/10.17235/reed.2018.5203/2017.

Guanziroli E, Colombo A, Coggi A, Gianotti R, Marzano AV. Pancreatic panniculitis: the "bright" side of the moon in solid cancer patients. BMC Gastroenterol. 2018; 18(1): 1. doi: https://doi.org/10.1186/s12876-017-0727-1.

Published

2021-12-31

How to Cite

1.
García-Gómez M, Montero-Rodríguez A, Cuadros-Tito P Ángel, Onaindia-Pérez A. Pancreatic panniculitis as the first sign of pancreatic adenocarcinoma with liver metastases. Rev Esp Casos Clin Med Intern [Internet]. 2021 Dec. 31 [cited 2024 Dec. 4];6(3):6-8. Available from: https://www.reccmi.com/RECCMI/article/view/671

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