Pancreatic Neuroendocrine Tumor Presenting with Arthritis and Panniculitis
Journal of Rheumatic Diseases
; : 313-317, 2017.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-187095
Responsible library:
WPRO
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pancreatic Neoplasms
/
Arthritis
/
Skin
/
Synovial Fluid
/
Biopsy
/
Biopsy, Needle
/
Panniculitis
/
Neuroendocrine Tumors
/
Crystallization
/
Diagnosis
Type of study:
Diagnostic study
Limits:
Humans
Language:
English
Journal:
Journal of Rheumatic Diseases
Year:
2017
Document type:
Article