Fat necrosis. An unusual cause of polyarthritis.

Watts, R A; Kelly, S; Hacking, J C; Lomas, D; Hazleman, B L · J Rheumatol · 1993

case_report · Level V

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Abstract

Metastatic fat necrosis is a form of lobular panniculitis which together with synovitis is an unusual complication of pancreatic disease. It can precede an attack of pancreatitis. Pancreatic disease should therefore be remembered as a cause of panniculitis. Serum amylase and abdominal ultrasonography should be considered to exclude pancreatic disease in cases of panniculitis of uncertain etiology. We describe a case of metastatic fat necrosis and discuss the appearance on magnetic resonance imaging.

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