Serial lipase measurements in pancreatic panniculitis.
Dermatology
Gastroenterology
General surgery
Pancreatitis
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
29 Oct 2023
29 Oct 2023
Historique:
pmc-release:
29
10
2025
medline:
31
10
2023
pubmed:
30
10
2023
entrez:
29
10
2023
Statut:
epublish
Résumé
Pancreatic panniculitis is a rare cutaneous manifestation of pancreatic disease with only scant case reports available to guide management. In this report, a woman in her 60s developed a painful, erythematous and indurated, nodular rash after an episode of acute pancreatitis postendoscopic retrograde cholangiopancreatography (ERCP). While clinically and radiologically the pancreatitis improved with standard conservative management, the panniculitis remained severely debilitating. Repeat testing of serum pancreatic enzymes revealed persistent and marked elevation. Octreotide was started to inhibit pancreatic enzyme release, and the lesions improved, with resolution of the panniculitis correlating with falling serum pancreatic enzyme levels. Hence, serial pancreatic enzyme testing may have utility in monitoring and management of pancreatic panniculitis.
Identifiants
pubmed: 37899080
pii: 16/10/e254370
doi: 10.1136/bcr-2022-254370
pmc: PMC10619051
pii:
doi:
Substances chimiques
Lipase
EC 3.1.1.3
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.