Arthritis and rash with a G.I. tumor

Publication Date

2014

Document Type

Research

Abstract

A 57 year old Filipino complained of a few painful, erythematous, nodular rash on both legs, associated with knee and ankle pain 2 weeks PTA. He also had weight loss, fever and non-productive cough. work-up revealed lukocytosis, anemia, elevated transaminases, direct bilirubin levels, amylase and CA 19-9. ANA and anti-SSA/SSB were negative. Abdominal CT revealed intrahepatatic and pancreatic duct dilatation. Treatment included blood transfusion, antibiotics, corticosteroids, and bowel rest. ERCP revealed CBD and pancreatic duct stricture (double duct sign) which lead to the diagnosis of pancreatic panniculitis. Join paints and rash stopped progressing after endoscopic stent placement/sphincterotomy. Diet was resumed and he was resumed and he was discharged after 18 days.

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