Intramedullary fat necrosis, polyarthritis and panniculitis with pancreatic tumor: a case report

Int J Rheum Dis. 2010 Oct;13(4):e74-8. doi: 10.1111/j.1756-185X.2010.01548.x.


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.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Arthritis / diagnosis
  • Arthritis / etiology*
  • Arthritis / therapy
  • Combined Modality Therapy
  • Fat Necrosis / diagnosis
  • Fat Necrosis / etiology*
  • Fat Necrosis / therapy
  • Fatal Outcome
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Pancreatic Neoplasms / complications*
  • Pancreatic Neoplasms / diagnosis
  • Pancreatic Neoplasms / therapy
  • Panniculitis / diagnosis
  • Panniculitis / etiology*
  • Panniculitis / therapy
  • Radionuclide Imaging
  • Tomography, X-Ray Computed
  • Treatment Failure
  • Young Adult