Yang Sam Shiyao, Soon Gwyneth Shook Ting, Aw Derrick Chen-Wee
Department of General Medicine, University Medicine Cluster, National University Health System.
Dermatol Online J. 2015 Jan 15;21(1):13030/qt9s46b2m6.
We describe a rare case of a patient with pancreatic adenocarcinoma who presented initially with a rash on her lower legs. Skin biopsy showed lobular panniculitis and characteristic "ghost" adipocytes consistent with pancreatitic panniculitis. This clinical case is an interesting example where a seemingly innocuous skin condition heralds an underlying malignant disease process.