A Case of Nodular Fat Necrosis Associated with Pancreatitis.
- Author:
Sung Wook PARK
;
Han Young WANG
;
Hak Joong LEE
;
Jeong Kil WANG
- Publication Type:Case Report
- MeSH:
Adolescent;
Amylases;
Calcium;
Eosinophils;
Erythema;
Fat Necrosis*;
Female;
Humans;
Leg;
Lipase;
Lower Extremity;
Necrosis;
Pancreatic Diseases;
Pancreatitis*;
Subcutaneous Fat
- From:Korean Journal of Dermatology
1998;36(2):346-349
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Nodular fat necrosis is a rare and often overlooked sign of pancreatic disease. It is manifested as painful subcutaneous erythematous nodules, often found on the legs. We report a case of nodular fat necrosis associated with pancreatitis. The patient was a 14-year-old girl who presented with erythema nodosum-like tender subcutaneous nodules on both her lower extremities. The serum amylase and lipase levels were markedly elevated. The change of serum calcium and eosinophils were not so remarkable. Histopathological findings showed diffuse subcutaneous fat necrosis and ghost-like cells with thick shadowy walls and no nuclei. The lesions involuted gradually without any specific treatment and the underlying pancreatitis was followed up in the department of medicine.
