Evidence map›Paper›PMID 27736709›Full record

ArticleInternational journal of surgery case reports2016

Pancreatic disease, panniculitis, polyarthrtitis syndrome successfully treated with total pancreatectomy: Case report and literature review.

Valentina Ferri, Benedetto Ielpo, Hipolito Duran, Eduardo Diaz, Isabel Fabra, Riccardo Caruso, Luisi Malave, Carlos Plaza, Silvia Rodriguez, Lina Garcia and 3 more

Open access · goldAbstract read
In one paragraph

Article in International journal of surgery case reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Pancreatitis, panniculitis, and polyarthritis syndrome in a dog with hyalinizing pancreatic adenocarcinoma.Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Pancreatitis, Panniculitis, and Polyarthritis Syndrome Simulating Cellulitis and Gouty Arthritis.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2019
    Article
  11. Article
  12. Article
  13. Article
  14. Pancreatic Panniculitis and Polyarthritis.Current rheumatology reports · 2017
    Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Valentina FerriDivision of General Surgery, Sanchinarro Hospital, San Pablo University, Madrid, Spain. Electronic address: valenpeglio@gmail.com.
Benedetto IelpoDivision of General Surgery, Sanchinarro Hospital, San Pablo University, Madrid, Spain.
Hipolito DuranDivision of General Surgery, Sanchinarro Hospital, San Pablo University, Madrid, Spain.
Eduardo DiazDivision of General Surgery, Sanchinarro Hospital, San Pablo University, Madrid, Spain.
Isabel FabraDivision of General Surgery, Sanchinarro Hospital, San Pablo University, Madrid, Spain.
Riccardo CarusoDivision of General Surgery, Sanchinarro Hospital, San Pablo University, Madrid, Spain.
Luisi MalaveDivision of General Surgery, Sanchinarro Hospital, San Pablo University, Madrid, Spain.
Carlos PlazaDivision of Anatomic Pathology, Sanchinarro Hospital, San Pablo University, Madrid, Spain.
Silvia RodriguezDivision of Reumathology Sanchinarro Hospital, San Pablo University, Madrid, Spain.
Lina GarciaDiviasion of Nuclear Medicin, Sanchinarro Hospital, San Pablo University, Madrid, Spain.
Virginia PerezDivision or Radiology, Sanchinarro Hospital, San Pablo University, Madrid, Spain.
Yolanda QuijanoDivision of General Surgery, Sanchinarro Hospital, San Pablo University, Madrid, Spain.
Emilio VicenteDivision of General Surgery, Sanchinarro Hospital, San Pablo University, Madrid, Spain.
Hospital Universitario HM Sanchinarro · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPancreatic disease can be complicated by extrabdominal manifestations such as panniculitis and polyarthritis. The symptomatic triad comprising pancreatic disease, panniculitis and polyarthritis is also known as PPP syndrome and is characterized by severe chronic sequels and high mortality rate. We describe a case of PPP syndrome successfully treated with spleen preserving total pancreatectomy; in addition we performed a literature review. PRESENTATION OF CASE: A 67 years old male presented panniculitis and polyarthritis without clinical abdominal symptoms. Clinical presentation, laboratory values and radiological findings demonstrated an acute pancreatitis and a pancreatic cancer was suspected; failure of conservatory treatments and high suspicious of malignancy led to perform a spleen preserving total pancreatectomy. Finally histological examination excluded a pancreatic cancer and confirmed a chronic pancreatitis. Patient was discharged with complete resolution of the extrabdominal disease. DISCUSSION: In literature only 64 cases of PPP syndrome have been reported. Abdominal symptoms do not often appear at presentation and diagnosis may be delayed. Panniculitis develope in any part of the body but especially on the distal parts of the lower extremities, around the ankles and pretibial regions of the legs. Between osteo-articular manifestations polyarthritis is the most common one, although oligoarthritis, and monoarthritis in have been reported.

conclusionPPP syndrome is a rare disease with a high mortality rate. A timely diagnosis and an aggressive treatment may improve the prognosis of this condition.

Indexed as

Case reportPancreatic cancerPancreatitsPanniculitisPoliarthritis

Identifiers

PMID27736709
PMCPMC5065631
OpenAlexW2526476165

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.