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The Clinical Picture

Pancreatitis: The great masquerader?

Nicholas S. Duca, MD, Kristian Feterik, MD, MBA and Jonhan Ho, MD, MS
Cleveland Clinic Journal of Medicine October 2018, 85 (10) 752-753; DOI: https://doi.org/10.3949/ccjm.85a.18062
Nicholas S. Duca
Assistant Professor of Medicine, Division of General Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA
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Kristian Feterik
Division of General Internal Medicine, University of Pittsburgh, PA
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Jonhan Ho
Department of Dermatology and Pathology, University of Pittsburgh, PA
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    Figure 1

    The patient had multiple raised erythematous nodules on the lower extremities consistent with panniculitis.

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    Figure 2

    Biopsy study revealed pancreatic panniculitis. The subcutis showed mixed inflammation with characteristic “ghost adipocytes” of adipocyte necrosis (red box) (hematoxylin and eosin, × 10).

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    Figure 3

    Endoscopic retrograde cholangiopancreatography confirmed pancreatic stricture (arrow) and dilation of the pancreatic duct (box).

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Cleveland Clinic Journal of Medicine: 85 (10)
Cleveland Clinic Journal of Medicine
Vol. 85, Issue 10
1 Oct 2018
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Pancreatitis: The great masquerader?
Nicholas S. Duca, Kristian Feterik, Jonhan Ho
Cleveland Clinic Journal of Medicine Oct 2018, 85 (10) 752-753; DOI: 10.3949/ccjm.85a.18062

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Pancreatitis: The great masquerader?
Nicholas S. Duca, Kristian Feterik, Jonhan Ho
Cleveland Clinic Journal of Medicine Oct 2018, 85 (10) 752-753; DOI: 10.3949/ccjm.85a.18062
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