Mourad F H, Hannoush H M, Bahlawan M, Uthman I, Uthman S
Department of Internal Medicine, American University of Beirut Medical Center, Lebanon.
J Clin Gastroenterol. 2001 Mar;32(3):259-61. doi: 10.1097/00004836-200103000-00019.
Although rare, panniculitis and polyarthritis can be the presenting manifestations of pancreatitis. Early recognition of this triad is critical because of the high mortality rate from pancreatic disease when the diagnosis is delayed. We report a patient with chronic alcohol intake whose sole presentation was severe polyarthritis and skin lesions secondary to chronic pancreatitis associated with extra pancreatic pseudocyst. Both arthritis and skin lesions disappeared after partial pancreatectomy and pancreatic stent insertion for a pancreatic duct stricture.
尽管罕见，但脂膜炎和多关节炎可能是胰腺炎的首发表现。由于胰腺疾病诊断延迟时死亡率很高，所以早期识别这三联征至关重要。我们报告一例有长期饮酒史的患者，其唯一表现是继发于慢性胰腺炎伴胰腺外假性囊肿的严重多关节炎和皮肤病变。在因胰管狭窄行部分胰腺切除术和插入胰腺支架后，关节炎和皮肤病变均消失。
