Bansal Pankaj, Gilbert Emily L, Pereira Rodrigo Otavio Lami, Virata Andrew R
Rheumatology, Mayo Clinic Health System, Eau Claire, Wisconsin, USA
Internal Medicine, Mayo Clinic Hospital Jacksonville, Jacksonville, Florida, USA.
BMJ Case Rep. 2020 Feb 2;13(1):e232183. doi: 10.1136/bcr-2019-232183.
Mesenteric panniculitis (MP), part of the spectrum of sclerosing mesenteritis, is an often asymptomatic disorder that is characterised by chronic inflammation of abdominal mesentery. We present a case of an 83-year-old woman who presented with proximal muscle weakness and erythematous, photosensitive rash of the face and upper torso and was subsequently diagnosed with dermatomyositis based on skin biopsy, electromyography and muscle biopsy. She had radiographic evidence of panniculitis on CT scan of the abdomen and pelvis for malignancy surveillance, which improved on serial CT scan 3 months after beginning treatment for her underlying dermatomyositis with prednisone and mycophenolate mofetil. Our case highlights that MP can be associated with underlying autoimmune disease. Connective tissue disease could be considered in the differential of MP when other etiologies such as surgery, trauma and malignancy are ruled out.
肠系膜脂膜炎（MP）是硬化性肠系膜炎症谱的一部分，是一种通常无症状的疾病，其特征为腹部肠系膜的慢性炎症。我们报告一例83岁女性，她出现近端肌无力以及面部和上半身的红斑性光敏皮疹，随后根据皮肤活检、肌电图和肌肉活检被诊断为皮肌炎。她因恶性肿瘤监测进行腹部和骨盆CT扫描时有脂膜炎的影像学证据，在开始使用泼尼松和霉酚酸酯治疗其潜在皮肌炎3个月后的系列CT扫描中情况有所改善。我们的病例强调MP可能与潜在的自身免疫性疾病有关。当排除手术、创伤和恶性肿瘤等其他病因时，结缔组织病可被纳入MP的鉴别诊断中。
