Polyarthritis with chondronecrosis associated with osteonecrosis, panniculitis and pancreatitis

被引:11
作者
Mustafa, Khader N. [1 ]
Hadidy, Azmy [2 ]
Shoumaf, Maha [3 ]
Razzuki, Shams A. [2 ]
机构
[1] Jordan Univ Hosp, Div Rheumatol, Dept Internal Med, Amman 11942, Jordan
[2] Jordan Univ Hosp, Dept Radiol, Amman 11942, Jordan
[3] Jordan Univ Hosp, Dept Pathol, Amman 11942, Jordan
关键词
Polyarthritis; Chondronecrosis; Osteonecrosis panniculitis; Pancreatitis; SUBCUTANEOUS FAT NECROSIS; ARTHRITIS; DISEASE;
D O I
10.1007/s00296-009-1046-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Arthritis associated with panniculitis complicating pancreatitis is well described in the literature, usually associated with osteonecrosis. Chondronecrosis has not been reported before in association with pancreatitis. We report a patient with chronic pancreatitis who presented with polyarthritis, panniculitis, osteonecrosis, but in addition had clear evidence of chondronecrosis. We suggest that direct extension of noxious materials from nearby subchondral osteonecrotic bone lesion could be the cause of the osteonecrosis and one of the pathological mechanisms leading to arthritis in patients with pancreatitis.
引用
收藏
页码:1239 / 1242
页数:4
相关论文
共 19 条
[1]   VERTEBRAL OSTEONECROSIS ASSOCIATED WITH PANCREATITIS IN A CHILD - CASE-REPORT [J].
ALLEN, BL ;
JINKINS, WJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1978, 60 (07) :985-987
[2]   ACUTE PANCREATITIS WITH HYPERLIPEMIA - INCIDENCE OF LIPID ABNORMALITIES IN ACUTE PANCREATITIS [J].
CAMERON, JL ;
CAPUZZI, DM ;
ZUIDEMA, GD ;
MARGOLIS, S .
ANNALS OF SURGERY, 1973, 177 (04) :483-489
[3]   PANCREATIC PANNICULITIS [J].
DAHL, PR ;
SU, WPD ;
CULLIMORE, KC ;
DICKEN, CH .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1995, 33 (03) :413-417
[4]  
FRANCOMBE J, 1995, BRIT J RHEUMATOL, V34, P680
[5]  
GOLUBOFF N, 1978, CAN MED ASSOC J, V118, P924
[6]   INTRAOSSEOUS FAT NECROSIS ASSOCIATED WITH ACUTE-PANCREATITIS - MR IMAGING [J].
HALLER, J ;
GREENWAY, G ;
RESNICK, D ;
KINDYNIS, P ;
KANG, HS .
RADIOLOGY, 1989, 173 (01) :193-195
[7]   Intraosseous fat necrosis simulating septic arthritis and osteomyelitis in a patient with chronic pancreatitis [J].
Kotilainen, P ;
Saario, R ;
Mattila, K ;
Nylamo, E ;
Aho, H .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 1998, 118 (03) :174-175
[8]   Pancreatitis associated with pleural-mediastinal pseudocyst, panniculitis and polyarthritis [J].
Lopez, A ;
Garcia-Estan, J ;
Marras, C ;
Castano, M ;
Rojas, MJ ;
Garre, C ;
Gomez, J .
CLINICAL RHEUMATOLOGY, 1998, 17 (04) :335-339
[9]   Panniculitis and arthritis as the presenting manifestation of chronic pancreatitis [J].
Mourad, FH ;
Hannoush, HM ;
Bahlawan, M ;
Uthman, I ;
Uthman, S .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 2001, 32 (03) :259-261
[10]   ARTHRITIS AND SKIN LESIONS RESEMBLING ERYTHEMA NODOSUM IN PANCREATIC DISEASE [J].
MULLIN, GT ;
CAPERTON, EM ;
CRESPIN, SR ;
WILLIAMS, RC .
ANNALS OF INTERNAL MEDICINE, 1968, 68 (01) :75-+