Possible origin of pancreatic fat necrosis as a septal panniculitis

  • Author Footnotes
    a From The Section of Dermatology, Division of Rheumatology, Department of Medicine
    ,
    Author Footnotes
    d From The Tom Baker Cancer Centre, Calgary, Alberta, Canada.
    ,
    Author Footnotes
    b From The Department of Pathology, University of Calgary
    ,
    Author Footnotes
    c From The Kasper Medical Laboratories Inc.
    N.J. Ball
    Correspondence
    Reprint requests: N.J. Ball, MB, BS, Kasper Medical Laboratories Inc., 220 28th St. N.E., Calgary, Alberta, Canada, T2A 5R2.
    Footnotes
    a From The Section of Dermatology, Division of Rheumatology, Department of Medicine
    d From The Tom Baker Cancer Centre, Calgary, Alberta, Canada.
    b From The Department of Pathology, University of Calgary
    c From The Kasper Medical Laboratories Inc.
    Affiliations
    Calgary, Alberta, Canada
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  • Author Footnotes
    a From The Section of Dermatology, Division of Rheumatology, Department of Medicine
    S.P.A. Adams
    Footnotes
    a From The Section of Dermatology, Division of Rheumatology, Department of Medicine
    Affiliations
    Calgary, Alberta, Canada
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  • Author Footnotes
    b From The Department of Pathology, University of Calgary
    ,
    Author Footnotes
    c From The Kasper Medical Laboratories Inc.
    L.H. Marx
    Footnotes
    b From The Department of Pathology, University of Calgary
    c From The Kasper Medical Laboratories Inc.
    Affiliations
    Calgary, Alberta, Canada
    Search for articles by this author
  • Author Footnotes
    a From The Section of Dermatology, Division of Rheumatology, Department of Medicine
    T. Enta
    Footnotes
    a From The Section of Dermatology, Division of Rheumatology, Department of Medicine
    Affiliations
    Calgary, Alberta, Canada
    Search for articles by this author
  • Author Footnotes
    a From The Section of Dermatology, Division of Rheumatology, Department of Medicine
    b From The Department of Pathology, University of Calgary
    c From The Kasper Medical Laboratories Inc.
    d From The Tom Baker Cancer Centre, Calgary, Alberta, Canada.
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      We describe pancreatic subcutaneous fat necrosis in a man with alcoholism and pancreatitis. The initial specimen, from a 2-day-old lesion, showed a septal inflammatory infiltrate in the subcutis. A second specimen, from a 5-day-old lesion, showed the lobular pattern of enzymatic fat necrosis diagnostic for pancreatic panniculitis. We suggest that the histologic appearance of subcutaneous pancreatic fat necrosis evolves from an early septal reaction to a fully developed lobular panniculitis.
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