- A Case of Pancreatitis Presenting with Pancreatic Panniculitis: A Case Report.
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Seong Hyun Kim, Sun Hee Chang, Hai Jin Park
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Korean J Pathol. 2009;43(6):566-569.
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DOI: https://doi.org/10.4132/KoreanJPathol.2009.43.6.566
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 Abstract
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- 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.
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Citations
Citations to this article as recorded by  - Pancreatic Panniculitis in Patients with Chronic Pancreatitis: Case Report and Review of Literature
Eui Joong Kim, Min Su Chu, Ki Chang Sohn, Dong Ho Cho, Ga Hye Na, Haak Cheoul Kim, Eun Young Cho
The Korean Journal of Gastroenterology.2017; 69(1): 83. CrossRef
- A Case Report of Cutaneous Coccidioidomycosis.
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Sunhee Chang, Sang Hwa Shim, Ji Eun Kwak, Mee Joo, Hanseong Kim, Hai Jin Park, Yee Gyung Kwak, Je G Chi
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Korean J Pathol. 2008;42(4):223-225.
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Abstract
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- Coccidioidomycosis, which results from inhaling the spores of Coccidioides species, is endemic in the southwestern United States. The primary infection site is the lung, and dissemination of the disease can occur. We report a case of cutaneous coccidioidomycosis in a 79-year-old Korean woman who presented with purpura on both lower extremities, but no pulmonary symptoms and no history of visiting an endemic area. Microscopically, skin biopsy showed multiple aggregates of granulomas in the dermis. Numerous multinucleated giant cells were associated with the granulomas. Mature and immature fungal spherules, which were 20 to 30 micrometer in diameter, were present inside and outside the multinucleated giant cells.
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