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Polyarthritis with chondronecrosis associated with osteonecrosis, panniculitis and pancreatitis
Khader N Mustafa1, Azmy Hadidy, Maha Shoumaf
1Division of Rheumatology, Department of Internal Medicine, Jordan University Hospital, Amman, Jordan. kmustafa@ju.edu.jo
Abstract:
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.
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Chronic Pancreatitis I: Introduction
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
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Assessment:
Acute Pancreatitis I: Introduction