title: Subcutaneous pancreatic fat necrosis associated with acute arthritis.
abstract: Subcutaneous fat necrosis is a well described, rare sequela of acute pancreatitis. Uncommonly, arthritis is seen in association with these 2 disease processes. We report a case of fulminant pancreatitis presenting as an acute arthritis. Birefringent crystal-like structures led to initial diagnostic confusion with gout.
authors.affiliation: Department of Internal Medicine, University of Iowa College of Medicine, Iowa City 52242.
authors.forename: K G
authors.initials: KG
authors.lastname: Saag
authors.forename: T H
authors.initials: TH
authors.lastname: Niemann
authors.forename: C A
authors.initials: CA
authors.lastname: Warner
authors.forename: S J
authors.initials: SJ
authors.lastname: Naides
mesh_terms: D000208:Acute Disease; D000368:Aged; D001168:Arthritis / Q000150:complications* / Q000175:diagnosis; D003460:Crystallization; D003937:Diagnosis, Differential; D005218:Fat Necrosis / Q000209:etiology* / Q000378:metabolism / Q000473:pathology; D006073:Gout / Q000175:diagnosis; D006801:Humans; D008297:Male; D008683:Metatarsophalangeal Joint / Q000378:metabolism; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis; D012871:Skin Diseases / Q000209:etiology* / Q000378:metabolism / Q000473:pathology; D014527:Uric Acid / Q000378:metabolism
chemical_list: D014527:Uric Acid