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Joint Bone Spine
Volume 83, n° 2
pages 221-224 (mars 2016)
Doi : 10.1016/j.jbspin.2015.05.005
accepted : 28 May 2015
Osteomyelitis: A rare complication of pancreatitis and PPP-syndrome
 

Ronny Langenhan , Niklas Reimers, Axel Probst
 Hegau-Bodensee-Klinikum Singen, Klinik für Orthopädie, Unfall-und Handchirurgie, Virchowstr. 10, 78224 Singen, Germany 

Corresponding author.
Abstract

Pancreatic diseases can be accompanied by periarthritis with bone necrosis and panniculitis (PPP-syndrome). It is postulated that this is caused by systemic activity of pancreatic enzymes leading to microcirculatory disturbances and fat necrosis. The morbidity and mortality of the PPP-syndrome is high. Successful treatment of pancreatitis can lead to resolution of accompanying panniculitis and periarthritis without adverse sequelae, but weeks or months after pancreatitis, asymptomatic necrosis of the bone may become symptomatic by fracturing spontaneously. In this report, we also describe osteomyelitis as a severe septic complication of bone necrosis caused by pancreatitis, in one case as acute tissue necrosis and in another case months after pancreatitis spread haematogenously.

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Keywords : Pancreatitis, Panniculitis, Osteonecrosis, PPP-syndrome, Osteomyelitis




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