Pancreatic Neuroendocrine Tumor Presenting with Arthritis and Panniculitis
Journal of Rheumatic Diseases
;
: 313-317, 2017.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Tumeurs du pancréas
/
Arthrite
/
Peau
/
Synovie
/
Biopsie
/
Ponction-biopsie à l'aiguille
/
Panniculite
/
Tumeurs neuroendocrines
/
Cristallisation
/
Diagnostic
Type d'étude:
Etude diagnostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Journal of Rheumatic Diseases
Année:
2017
Type:
Article
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