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[Inusual presentation of mesenteric panniculitis].

S Ruiz García1, M Yedra Alcaraz, N Ortega

  • 1Servicio de Medicina interna, Hospital Virgen de la Arrixaca, Murcia. silviarg77@hotmail.com

Anales De Medicina Interna (Madrid, Spain : 1984)
|November 21, 2007
PubMed
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Mesenteric panniculitis, an inflammation of abdominal fat, can present with fever. This case study shows oral corticosteroids effectively treated evening fever symptoms for two years.

Area of Science:

  • Gastroenterology
  • Pathology

Background:

  • Mesenteric panniculitis is a rare inflammatory condition affecting the abdominal adipose tissue.
  • Clinical presentations vary widely, from asymptomatic cases to severe symptoms like abdominal pain and weight loss.

Observation:

  • This report details a patient whose primary symptom of mesenteric panniculitis was predominantly evening fever.
  • The patient's fever resolved after a two-year course of oral corticosteroids.

Findings:

  • Mesenteric panniculitis can manifest solely as fever, particularly with evening predominance.
  • Corticosteroid therapy demonstrated efficacy in resolving fever associated with mesenteric panniculitis.

Implications:

  • This case suggests corticosteroids may be a viable treatment option for symptomatic mesenteric panniculitis, especially when fever is the main complaint.

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  • Further research is needed to establish evidence-based treatment guidelines for mesenteric panniculitis.