胰腺炎,胰膜炎和多发性关节炎综合征的表现,诊断和管理。

IF 0.4 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI:10.1093/jscr/rjaf305
Xiang Yuen Po
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引用次数: 0

摘要

患者表现为不对称多发性关节炎,下肢皮肤红斑,伴有间歇性发热。有过量饮酒史,无胰腺炎病史。随后出现腹痛,脂肪酶水平升高,腹部CT显示急性胰腺炎。下肢病变活检证实潘膜炎。他脚踝的CT扫描显示有关节炎和不完全性骨折。根据他的PPP诊断为胰腺炎、胰膜炎和多发性关节炎(PPP)综合征。他随后出现胰腺炎的多种并发症,导致长期住院和多次干预。PPP综合征三联征被认为是由于胰腺酶渗漏到体循环而发生的。对潜在胰腺炎的管理通常有助于解决PPP综合征的其他后遗症。这是迄今为止第一例伴有血管假性动脉瘤的PPP综合征。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pancreatitis, panniculitis, and polyarthritis syndrome presentation, diagnosis, and management.

Patient presented with asymmetric polyarthritis and tender skin erythematous lesions over his lower limbs associated with intermittent fever. He has a history of excessive alcohol usage without previous episode of pancreatitis. He subsequently developed abdominal pain and was noted to have elevated lipase levels and computed tomography (CT) of his abdomen showed evidence of acute pancreatitis. Biopsy of a lower limb lesion proved panniculitis. CT scan of his ankle showed arthritis and an insufficiency fracture. The diagnosis of pancreatitis, panniculitis, and polyarthritis (PPP) syndrome was made based on his PPP. He subsequently developed multiple complications of pancreatitis which led to prolonged hospitalization and multiple interventions. PPP syndrome triad is hypothesized to occur due to leakage of pancreatic enzymes into the systemic circulation. Management of the underlying pancreatitis usually helps resolve the other sequalae of PPP syndrome. This is the first case report of PPP syndrome with associated vessel pseudoaneurysm to date.

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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