title: 'Pancreatitis, polyarthritis, panniculitis syndrome' (PPP syndrome) plus prolonged pyrexia--a rare presentation of chronic pancreatitis.
abstract: Pancreatitis presenting without abdominal pain is very unusual. Here we report a 70-year-old man with chronic calcific pancreatitis presented to us with prolonged fever, arthritis and multiple subcutaneous swellings, but without any abdominal pain or other abdominal symptoms. His serum amylase and lipase were very high. Biopsy from the subcutaneous swellings revealed fat necrosis and CT scan abdomen showed features of chronic calcific pancreatitis. He was managed conservatively with supportive measures, and recovered. There is only scanty information in literature regarding this type of presentation in chronic pancreatitis.
authors.affiliation: Department of Gastroenterology, MIMS Hospital, Govindapuram, Calicut, Kerala, India. doctonyjose@yahoo.co.in
authors.forename: Tony
authors.initials: T
authors.lastname: Jose
authors.forename: I K
authors.initials: IK
authors.lastname: Biju
authors.forename: Anish
authors.initials: A
authors.lastname: Kumar
authors.forename: P C
authors.initials: PC
authors.lastname: Anver
authors.forename: Rojan
authors.initials: R
authors.lastname: Kuruvila
authors.forename: Shalini
authors.initials: S
authors.lastname: Kuruvila
authors.forename: M
authors.initials: M
authors.lastname: Lilly
mesh_terms: D000368:Aged; D001168:Arthritis / Q000150:complications*; D002908:Chronic Disease; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000150:complications*; D015434:Panniculitis / Q000150:complications*; D013577:Syndrome