Subcutaneous fat necrosis is seen in 2% of patients with pancreatic disorders and may predate clinical symptoms by up to 3 weeks. Furthermore, 2% of cases of acute pancreatitis are clinically silent. Therefore, the differential diagnosis is extensive and the definitive diagnosis is evasive. The treatment of prolonged hyperamylasaemia and hyperlipasaemia is challenging and still experimental. Further studies are required to introduce effective treatment protocols.
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- Lab tests confirmed pancreatitis, and a dermatological assessment established panniculitis, leading to the diagnosis of PPP.
- Initial treatments with glucocorticoids and NSAIDs were ineffective, but after performing endoscopic retrograde cholangiopancreatography (ERCP) to remove blockages in the pancreatic duct, the patient's symptoms improved significantly, emphasizing the need for multidisciplinary awareness and management of this condition.
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