title: Pancreatic panniculitis associated with allograft pancreatitis and rejection in a simultaneous pancreas-kidney transplant recipient.
abstract: Pancreatic panniculitis is an uncommon condition that can occur in association with pancreatic disease. We present a case of pancreatic panniculitis in a female pancreas-kidney transplant recipient 5 months post-transplant. The patient was on standard immunosuppressive medications and had acute rejection of her renal allograft. The diagnosis of allograft pancreatitis and rejection presenting with pancreatic panniculitis was supported clinically, histopathologically and by laboratory and imaging data. This is the fourth case of pancreatic panniculitis occurring in a transplant recipient and the first in a simultaneous pancreas-kidney transplant recipient. It is also the first case associated with allograft rejection. Clinicians should be aware that pancreatic panniculitis may be a manifestation of underlying allograft pancreatic disease.
authors.affiliation: Department of Dermatology, University of Texas Medical Branch, Galveston, Texas, USA.
authors.forename: J L
authors.initials: JL
authors.lastname: Pike
authors.forename: J C
authors.initials: JC
authors.lastname: Rice
authors.forename: R L
authors.initials: RL
authors.lastname: Sanchez
authors.forename: E B
authors.initials: EB
authors.lastname: Kelly
authors.forename: B C
authors.initials: BC
authors.lastname: Kelly
mesh_terms: D001706:Biopsy; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection / Q000150:complications* / Q000473:pathology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000009:adverse effects*; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis; D010201:Panniculitis, Nodular Nonsuppurative / Q000175:diagnosis / Q000209:etiology*