title: Intramedullary fat necrosis, polyarthritis and panniculitis with pancreatic tumor: a case report.
abstract: Acute polyarthritis can occur in non-rheumatic systemic illnesses, presenting a diagnostic dilemma. We present an extremely rare case presenting as acute polyarthritis, panniculitis and medullary fat necrosis with underlying pancreatic pathology. This case report describes a young woman presenting with panniculits, pancreatic tumour, polyarthritis and intra-osseus fat necrosis with a fatal outcome. The medical fraternity needs to be aware of this potentially fatal albeit rare musculoskeletal complication secondary to a pancreatic pathology.
authors.affiliation: Department of Rheumatology & Clinical Immunology, Army hospital R & R, New Delhi, India. vasapra@gmail.com
authors.forename: Vivek
authors.initials: V
authors.lastname: Vasdev
authors.forename: Darshan
authors.initials: D
authors.lastname: Bhakuni
authors.forename: Krishanan
authors.initials: K
authors.lastname: Narayanan
authors.forename: Rahul
authors.initials: R
authors.lastname: Jain
mesh_terms: D000208:Acute Disease; D001168:Arthritis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003131:Combined Modality Therapy; D005218:Fat Necrosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D015434:Panniculitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D055815:Young Adult