title: Polyarthritis with chondronecrosis associated with osteonecrosis, panniculitis and pancreatitis.
abstract: Arthritis associated with panniculitis complicating pancreatitis is well described in the literature, usually associated with osteonecrosis. Chondronecrosis has not been reported before in association with pancreatitis. We report a patient with chronic pancreatitis who presented with polyarthritis, panniculitis, osteonecrosis, but in addition had clear evidence of chondronecrosis. We suggest that direct extension of noxious materials from nearby subchondral osteonecrotic bone lesion could be the cause of the osteonecrosis and one of the pathological mechanisms leading to arthritis in patients with pancreatitis.
authors: Division of Rheumatology, Department of Internal Medicine, Jordan University Hospital, Amman, Jordan. kmustafa@ju.edu.jo
authors: Khader N
authors: KN
authors: Mustafa
authors: Azmy
authors: A
authors: Hadidy
authors: Maha
authors: M
authors: Shoumaf
authors: Shams A
authors: SA
authors: Razzuki
mesh_terms: D001168:Arthritis / Q000150:complications* / Q000209:etiology; D001847:Bone Diseases / Q000150:complications; D017809:Fatal Outcome; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010020:Osteonecrosis / Q000150:complications*; D010195:Pancreatitis / Q000150:complications*; D050500:Pancreatitis, Chronic / Q000150:complications; D015434:Panniculitis / Q000150:complications* / Q000209:etiology