title: [A 55-year-old man with abdominal pain and fever].
abstract: A 55-year-old man was admitted for evaluation of chronic abdominal pain and fever. Computed tomography demonstrated a retroperitoneal inflammatory process involving the mesenteric root. Adipose tissue biopsy showed panniculitis mesenterica with granulomas. Further examinations confirmed the diagnosis of plasmocytoma type IgG kappa. Treatment with steroids (prednisolone), resulted in immediate improvement of pain and fever. Mesenteric panniculitis represents a paraneoplastic syndrome associated with non-Hodgkin lymphoma.
authors.affiliation: Klinik und Poliklinik für Innere Medizin I, Universitätsklinikum Regensburg, Regensburg, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Hahnel
authors.forename: N
authors.initials: N
authors.lastname: Zitzler
authors.forename: K
authors.initials: K
authors.lastname: Schardt
authors.forename: C
authors.initials: C
authors.lastname: Gnewuch
authors.forename: T
authors.initials: T
authors.lastname: Karrasch
authors.forename: J
authors.initials: J
authors.lastname: Schulze
authors.forename: V
authors.initials: V
authors.lastname: Peters
authors.forename: M
authors.initials: M
authors.lastname: Müller
authors.forename: A
authors.initials: A
authors.lastname: Schäffler
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005335:Fever of Unknown Origin / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D010534:Peritoneal Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D010954:Plasmacytoma / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D011239:Prednisolone / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone
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