Abstract
A 67-year-old man with was admitted to the hospital after complaining of painful lower extremity ulcers and two days of fever. Physical examination revealed a cachectic, elderly, slightly confused man in no apparent distress, The clinical history of abdominal pain, markedly elevated serum amylase and lipase levels, abnormal computed tomography of the pancreas, histologic findings typical of pancreatic panniculitis, and compatible skin lesions led to the diagnosis of pancreatic parmiculitis. This article reviews differential diagnosis when panniculitis is suspected, discusses which illnesses are associated with pancreatic panniculitis, and discusses the management a patient with pancreatic panniculitis.
