Department of Rheumatology & Clinical Immunology, Army hospital R & R, New Delhi, India.
Int J Rheum Dis. 2010 Oct;13(4):e74-8. doi: 10.1111/j.1756-185X.2010.01548.x.
Acute polyarthritis can occur in non-rheumatic systemic illnesses, presenting a diagnostic dilemma. We present an extremely rare case presenting as acute polyarthritis, panniculitis and medullary fat necrosis with underlying pancreatic pathology. This case report describes a young woman presenting with panniculits, pancreatic tumour, polyarthritis and intra-osseus fat necrosis with a fatal outcome. The medical fraternity needs to be aware of this potentially fatal albeit rare musculoskeletal complication secondary to a pancreatic pathology.
急性多发性关节炎可发生于非风湿性系统性疾病,这给诊断带来了困难。我们报告了一例极罕见的病例,该患者以急性多发性关节炎、脂膜炎和骨髓脂肪坏死为表现,伴有胰腺病变。本病例报告描述了一名年轻女性,表现为脂膜炎、胰腺肿瘤、多发性关节炎和骨髓内脂肪坏死,最终导致死亡。医学界需要意识到这种潜在的致命性但罕见的肌肉骨骼并发症,其继发于胰腺病变。