Ball N J, Adams S P, Marx L H, Enta T
Department of Medicine, University of Calgary, Alberta, Canada.
J Am Acad Dermatol. 1996 Feb;34(2 Pt 2):362-4. doi: 10.1016/s0190-9622(07)80009-0.
We describe pancreatic subcutaneous fat necrosis in a man with alcoholism and pancreatitis. The initial specimen, from a 2-day-old lesion, showed a septal inflammatory infiltrate in the subcutis. A second specimen, from a 5-day-old lesion, showed the lobular pattern of enzymatic fat necrosis diagnostic for pancreatic panniculitis. We suggest that the histologic appearance of subcutaneous pancreatic fat necrosis evolves from an early septal reaction to a fully developed lobular panniculitis.
我们描述了一名患有酒精中毒和胰腺炎的男性患者的胰腺皮下脂肪坏死情况。来自一个2日龄病变的初始标本显示皮下有间隔性炎性浸润。来自一个5日龄病变的第二个标本显示了酶性脂肪坏死的小叶模式,这是胰腺性脂膜炎的诊断特征。我们认为皮下胰腺脂肪坏死的组织学表现从早期的间隔反应演变为完全发展的小叶性脂膜炎。