Pancreatic panniculitis in a child

Rao, Angoori Gnaneshwar; Danturty, Indira

doi:10.4103/0019-5154.62756

Cited by 7 publications

(9 citation statements)

References 14 publications

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“… 32 [ 76 ] 44 f pancreas transplant rejection resolution 33 [ 77 ] 63 f metastatic pancreatic adenocarcinoma n.r. 34 [ 78 ] 38 m pancreatic pseudocyst-inferior vena cava fistula resolution after Roux-en-Y pseudocyst-jejunostomy 35 [ 40 ] 82 m pancreatic ACC death 2.5 months after first skin lesion 36 [ 46 ] 79 m pancreatic ACC death two months after first skin lesion 37 [ 79 ] 2,5 m acute pancreatitis with pseudocyst n.r. 38 [ 80 ] 45 m chronic pancreatitis resolution after placement of endoprothesis 39 [ 81 ] 18 w acute pancreatitis resolution 40 [ 82 ] 10 w acute pancreatitis with pseudocyst resolution after endosonographic cysto-gastrostomy 41 [ 83 ] 69 m gastric adenocarcinoma with pancreas metastasis death 14 weeks after first skin lesion 42 [ 84 ] 58 m pancreatic pseudocyst-portal vein fistula death five days after admission 43 [ 85 <...>…”

Section: Case Presentationmentioning

confidence: 99%

Pancreatic panniculitis in a patient with pancreatic-type acinar cell carcinoma of the liver – case report and review of literature

et al. 2016

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BackgroundPancreatic panniculitis is a rare condition, which has only been described in relation with pancreatic diseases up to now. It is characterized by necrotizing subcutaneous inflammation and is thought to be triggered by adipocyte necrosis due to systemic release of pancreatic enzymes with consecutive infiltration of neutrophils. We present the first case of a patient with pancreatic panniculitis caused by pancreatic-type primary acinar cell carcinoma (ACC) of the liver and without underlying pancreatic disease.Case presentationA 73-year old Caucasian female patient was referred to our department with painful cutaneous nodules persisting for eight weeks and with marked lipasemia (~15000 U/l; normal range <60 U/l). Four weeks prior, several liver lesions had been detected. Empiric treatment with steroids did not show any effect. A biopsy of the skin nodules revealed “pancreatic” panniculitis, while abdominal imaging with ultrasound, computed tomography and magnetic resonance imaging detected no abnormal pancreatic findings. Ultrasound-guided biopsy of the liver lesions showed infiltrates of an ACC. The patient died soon thereafter. Autopsy failed to reveal any other primary for the ACC, so that a pancreatic-type ACC of the liver was diagnosed by exclusion.One hundred thirty cases of pancreatic panniculitis published within the last 20 years are reviewed. ACC of the pancreas is the most common underlying neoplastic condition. Patients with associated neoplasm are significantly older, take longer to be diagnosed and have higher lipase levels than patients with underlying pancreatitis.Extrapancreatic pancreatic-type ACC is very rare, but shows the same biological features as ACC of the pancreas. It is believed to develop from metaplastic or ectopic pancreatic tissue. Up to now, no pancreatic panniculitis in extrapancreatic ACC has been described.ConclusionPancreatic panniculitis should always be included in the differential diagnosis of lipolytic panniculitic lesions. It can be regarded as a facultative paraneoplastic phenomenon.When suspected, a thorough work-up for identification of the underlying disease is mandatory and extrapancreatic lesions (e.g. liver) should also be considered. While administration of octreotide or steroids can sometimes alleviate symptoms, immediate treatment of the associated condition is the only effective management option.

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Section: Case Presentationmentioning

confidence: 99%

Pancreatic panniculitis in a patient with pancreatic-type acinar cell carcinoma of the liver – case report and review of literature

et al. 2016

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“…Degree of dissociation; comparison of our own data with Berg, Levanov, and Hlushak (converted from mol·L −1 in mol·kg −1 to). The data from are a summary of calculations without considering the ion pair…”

Section: Resultsmentioning

confidence: 93%

“…Degree of dissociation; comparison of our own data with Berg, [10] Levanov, [22] and Hlushak [20] (converted from mol·L −1 in mol·kg −1 to [34] ). The data from [10] are a summary of calculations without considering the ion pair [12][13][14][15][16][17] [Colour figure can be viewed at wileyonlinelibrary.com] This empirical formula is valid for the value range 0.15 ≤ α ≤ 0.95.…”

Section: Figurementioning

confidence: 99%

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Raman spectroscopic determination of the degree of dissociation of nitric acid in binary and ternary mixtures with HF and H₂SiF₆

Langner

Rietig

Acker

2019

J Raman Spectroscopy

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The oxidizing effect of nitric acid in aqueous solutions depends on the concentration of undissociated nitric acid. This makes the concentration of undissociated nitric acid an essential parameter to monitor and control the quality of silicon etching in the industrial manufacturing of solar cells. In the present study, a method known already is extended in such a way that the degree of dissociation of nitric acid can be determined by Raman spectroscopy in HF/HNO3/H2SiF6 acid mixtures over a broad concentration range for the first time and without using an internal or external standard to compensate the typical time‐dependent drift of a Raman spectrometer. The method developed requires the calculation of a peak area ratio from the areas of the unimpeded Raman signals assigned to nitrate (νN − O) at 1,048 cm−1 and to undissociated HNO3 (νN − OH) at 957 cm−1. The correlation between the peak ratio and the degree of dissociation of nitric acid revealed can be described by a simple empirical equation. Using this equation, the degree of dissociation of nitric acid can be determined over a broad concentration range in binary and ternary mixtures of HNO3 with HF and H2SiF6. The impact of the acids HF and H2SiF6 and the total water content in the degree of dissociation of nitric acid is discussed.

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“…Its association with polyarthritis and eosinophilia is known as Schmid's triad, and is associated with a poor prognosis. [2930]…”

Section: Introductionmentioning

confidence: 99%

Triads in dermatology

et al. 2013

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Pancreatic panniculitis in a child

Cited by 7 publications

References 14 publications

Pancreatic panniculitis in a patient with pancreatic-type acinar cell carcinoma of the liver – case report and review of literature

Pancreatic panniculitis in a patient with pancreatic-type acinar cell carcinoma of the liver – case report and review of literature

Raman spectroscopic determination of the degree of dissociation of nitric acid in binary and ternary mixtures with HF and H₂SiF₆

Triads in dermatology

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Pancreatic panniculitis in a child

Cited by 7 publications

References 14 publications

Pancreatic panniculitis in a patient with pancreatic-type acinar cell carcinoma of the liver – case report and review of literature

Pancreatic panniculitis in a patient with pancreatic-type acinar cell carcinoma of the liver – case report and review of literature

Raman spectroscopic determination of the degree of dissociation of nitric acid in binary and ternary mixtures with HF and H2SiF6

Triads in dermatology

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Product

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Raman spectroscopic determination of the degree of dissociation of nitric acid in binary and ternary mixtures with HF and H₂SiF₆