Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Private practice, Aracaju, SE, Brazil.
Adv Rheumatol. 2019 Aug 1;59(1):35. doi: 10.1186/s42358-019-0077-5.
The panniculitides remain as one of the most challenging areas for clinicians, as they comprise a heterogeneous group of inflammatory diseases involving the subcutaneous fat with potentially-shared clinical and histopathological features. Clinically, most panniculitides present as red edematous nodules or plaques. Therefore, in addition to a detailed clinical history, a large scalpel biopsy of a recent-stage lesion with adequate representation of the subcutaneous tissue is essential to specific diagnosis and appropriate clinical management. Herein we review the panniculitides of particular interest to the rheumatologist.
脂膜炎仍然是临床医生面临的最具挑战性的领域之一,因为它们包含一组异质性的炎症性疾病,涉及皮下脂肪,具有潜在的共同临床和组织病理学特征。临床上,大多数脂膜炎表现为红色肿胀性结节或斑块。因此,除了详细的临床病史外,对近期病变进行大的手术刀活检,充分代表皮下组织,对于明确诊断和适当的临床管理至关重要。在此,我们回顾了风湿科特别关注的脂膜炎。