title: Progression of imaging in pancreatitis panniculitis polyarthritis (PPP) syndrome.
abstract: Lobular panniculitis, together with a polyarthritis may complicate pancreatic disease. Abdominal symptoms are frequently absent and mis-diagnosis of the joint-skin complex can lead to inappropriate treatment in a condition with an already high mortality. We report a case of the pancreatitis panniculitis polyarthritis (PPP) syndrome, complicated by metastatic fat necrosis, with bone marrow involvement and characteristic magnetic resonance imaging (MRI) and describe the clinical characteristics, therapy and outcome of patients affected by the syndrome.
authors.affiliation: Rheumatology Department, Selly Oak Hospital, University Hospitals Birmingham NHS Trust, Birmingham, UK. alecpf@sizzel.net
authors.forename: A N
authors.initials: AN
authors.lastname: Price-Forbes
authors.forename: A
authors.initials: A
authors.lastname: Filer
authors.forename: U L
authors.initials: UL
authors.lastname: Udeshi
authors.forename: A
authors.initials: A
authors.lastname: Rai
mesh_terms: D000273:Adipose Tissue / Q000473:pathology; D001168:Arthritis / Q000000981:diagnostic imaging / Q000503:physiopathology*; D018450:Disease Progression; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis / Q000473:pathology; D010195:Pancreatitis / Q000000981:diagnostic imaging / Q000503:physiopathology*; D015434:Panniculitis / Q000000981:diagnostic imaging / Q000503:physiopathology*; D011859:Radiography; D013577:Syndrome