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Case Reports
. 2009 Sep-Oct;28(5):186-8.
doi: 10.1007/s12664-009-0072-6. Epub 2010 Jan 27.

'Pancreatitis, polyarthritis, panniculitis syndrome' (PPP syndrome) plus prolonged pyrexia--a rare presentation of chronic pancreatitis

Tony Jose  1 , I K Biju, Anish Kumar, P C Anver, Rojan Kuruvila, Shalini Kuruvila, M Lilly
Affiliations
Case Reports

'Pancreatitis, polyarthritis, panniculitis syndrome' (PPP syndrome) plus prolonged pyrexia--a rare presentation of chronic pancreatitis

Tony Jose et al. Indian J Gastroenterol. 2009 Sep-Oct.

Abstract

Pancreatitis presenting without abdominal pain is very unusual. Here we report a 70-year-old man with chronic calcific pancreatitis presented to us with prolonged fever, arthritis and multiple subcutaneous swellings, but without any abdominal pain or other abdominal symptoms. His serum amylase and lipase were very high. Biopsy from the subcutaneous swellings revealed fat necrosis and CT scan abdomen showed features of chronic calcific pancreatitis. He was managed conservatively with supportive measures, and recovered. There is only scanty information in literature regarding this type of presentation in chronic pancreatitis.

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