ArticleThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi2019
Pancreatitis, Panniculitis, and Polyarthritis Syndrome Simulating Cellulitis and Gouty Arthritis.
Article in The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 20 citations in OpenAlex.
- Case report: Pancreatitis-associated polyarthritis, panniculitis, and bone infarcts in a patient with alcohol use disorder.Acta radiologica open · 2026Article
- Subcutaneous nodules accompanied by joint pain and erythema.JAAD case reports · 2025Article
- Arthritis with chronic pancreatitis-do not forget pancreatitis, panniculitis and polyarthritis (PPP) syndrome.Oxford medical case reports · 2025Article
- Understanding the PPP Syndrome: A Rare Combination of Pancreatitis, Panniculitis, and Polyarthritis.Advanced biomedical research · 2025Article
- A 50-year-old patient with pancreatitis revealing pancreatitis, panniculitis, and polyarthritis syndrome-a case report and review of the literature.Wiener medizinische Wochenschrift (1946) · 2024Review
- A rare case of polyarthritis panniculitis and pancreatitis.Clinical journal of gastroenterology · 2024Article
- Pancreatitis, Panniculitis, and Polyarthritis Syndrome in Two Patients: A Case Series and Literature Review.Cureus · 2024Article
- Pancreatitis, panniculitis and polyarthritis (PPP) syndrome.BMJ case reports · 2023Article
- Panniculitis with late onset enthesitis-related arthritis: a case report.Pediatric rheumatology online journal · 2023Article
- Pancreatitis, Panniculitis, and Polyarthritis (PPP) Syndrome in the Setting of Severe Acute Pancreatitis.Cureus · 2023Article
- [A several-week history of inflammatory changes in the right foot and right hand of a 57-year-old male patient].Der Internist · 2021Article
- Clinical characteristics, treatment, and outcome of pancreatitis, panniculitis, and polyarthritis syndrome: a case-based review.Clinical rheumatology · 2021Review
- A case report of pancreatic panniculitis due to acute pancreatitis with intraductal papillary mucinous neoplasm.BMC gastroenterology · 2020Article
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Authors and funding
8 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome is a rare but critical disease with a high mortality rate. The diagnostic dilemma of PPP syndrome is the fact that symptoms occur unexpectedly. A 48-year-old man presented with fever and painful swelling of the left foot that was initially mistaken for cellulitis and gouty arthritis. The diagnosis of PPP syndrome was made based on the abdominal CT findings and elevated pancreatic enzyme levels, lobular panniculitis with ghost cells on a skin biopsy, and polyarthritis on a bone scan. The pancreatitis and panniculitis disappeared spontaneously over time, but the polyarthritis followed its own course despite the use of anti-inflammatory agents. In addition to this case, 30 cases of PPP syndrome in the English literature were reviewed. Most of the patients had initial symptoms other than abdominal pain, leading to misdiagnosis. About one-third of them were finally diagnosed with a pancreatic tumor, of which pancreatic acinar cell carcinoma was the most dominant. They showed a mortality rate of 32.3%, associated mainly with the pancreatic malignancy. Therefore, PPP syndrome should be considered when cutaneous or osteoarticular manifestations occur in patients with pancreatitis. Active investigation and continued observations are needed for patients suspected of PPP syndrome.
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