Unilateral fasciitis of the lower leg: a paraneoplastic manifestation of an occult pancreatic tumor.
We report an elderly woman with a 3-month history of abdominal pain and painful swelling of her right lower leg. Magnetic resonance imaging revealed extensive fasciitis of the right superficial and deep crural fasciae. Endoscopic ultrasonography identified a tumor in the tail region of the pancreas with regional lymphatic nodal disease and suspicion of liver metastasis. The temporal relationship between the fasciitis and the pancreatic tumor suggests cancer-associated fasciitis-panniculitis syndrome. We report for the first time the incidence of the fasciitis-panniculitis syndrome in a patient with a previously undiagnosed solid pancreatic tumor.
Kuempers
Philipp
P
Department of Rheumatology, Medical School Hannover, Hannover, Germany.
Köhler
Lars
L
Pertschy
Stefanie
S
Krüger
Martin
M
Zeidler
Henning
H
Freise
Julia
J
D003937:Diagnosis, Differential; D005208:Fasciitis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007866:Leg; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000473:pathology; D014463:Ultrasonography / Q000379:methods