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Pancreatic Neuroendocrine Tumor Presenting with Arthritis and Panniculitis
Journal of Rheumatic Diseases ; : 313-317, 2017.
Artículo en Inglés | WPRIM | ID: wpr-187095
ABSTRACT
Pancreatic neoplasm is complicated and can be preceded by extra-pancreatic manifestations, such as cutaneous and musculoskeletal symptoms. Awareness of these associations is important for timely diagnosis and appropriate treatment. We report a case of pancreatic neuroendocrine tumor (NET) presenting with arthritis and panniculitis. The patient had a two month history of right knee pain and subcutaneous nodules in both legs. Synovial fluid analysis from the right knee joint revealed a mildly increased white blood cell count without crystallization. A skin biopsy of a subcutaneous nodule revealed lobular panniculitis. The initial treatment with empirical antibiotics did not alleviate the symptoms; however, the right knee arthritis and skin nodules improved with steroid treatment. On the eighth day of hospitalization, the patient complained of abdominal discomfort. Abdominopelvic computed tomography scanning revealed a 14-cm sized pancreatic mass with peritoneal metastasis. Percutaneous needle biopsy confirmed the diagnosis of pancreatic NET.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Neoplasias Pancreáticas / Artritis / Piel / Líquido Sinovial / Biopsia / Biopsia con Aguja / Paniculitis / Tumores Neuroendocrinos / Cristalización / Diagnóstico Tipo de estudio: Estudio diagnóstico Límite: Humanos Idioma: Inglés Revista: Journal of Rheumatic Diseases Año: 2017 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Neoplasias Pancreáticas / Artritis / Piel / Líquido Sinovial / Biopsia / Biopsia con Aguja / Paniculitis / Tumores Neuroendocrinos / Cristalización / Diagnóstico Tipo de estudio: Estudio diagnóstico Límite: Humanos Idioma: Inglés Revista: Journal of Rheumatic Diseases Año: 2017 Tipo del documento: Artículo