Cannon J R, Pitha J V, Everett M A
J Cutan Pathol. 1979 Dec;6(6):501-6. doi: 10.1111/j.1600-0560.1979.tb01178.x.
A case of subcutaneous fat necrosis as the initial manifestation of an attack of acute pancreatitis is presented. The accompanying features of respiratory distress syndrome, leukemoid reaction, shock, pleural effusions, and arthritis due to necrosis of periarticular fat are described. Autopsy findings are pancreatic pseudocyst, serofibrinous peritonitis, pleuritis, and pericarditis and fat necrosis not only in the subcutaneous fat but also in the pericardial, pleural, mediastinal, mesenteric, retroperitoneal, and pericalyceal fat.
本文报告一例以皮下脂肪坏死为急性胰腺炎发作首发表现的病例。描述了伴随出现的呼吸窘迫综合征、类白血病反应、休克、胸腔积液以及关节周围脂肪坏死所致关节炎等特征。尸检发现有胰腺假性囊肿、浆液纤维蛋白性腹膜炎、胸膜炎、心包炎，且不仅皮下脂肪，心包、胸膜、纵隔、肠系膜、腹膜后及肾周脂肪均有脂肪坏死。
