Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2023; 11(18): 4412-4418
Published online Jun 26, 2023. doi: 10.12998/wjcc.v11.i18.4412
Pancreatitis, panniculitis and polyarthritis syndrome: A case report
Hannes Pichler, Thomas Stumpner, Dietmar Schiller, Martin Bischofreiter, Reinhold Ortmaier
Hannes Pichler, Thomas Stumpner, Martin Bischofreiter, Reinhold Ortmaier, Department of Orthopedic Surgery, Ordensklinikum Linz Barmherzige Schwestern, Vinzenzgruppe Center of Orthopedic Excellence, Teaching Hospital, Paracelsus Medical University Salzburg, Linz 4010, Austria
Dietmar Schiller, Department of Gastroenterology, Ordensklinikum Linz Barmherzige Schwestern, Linz 4010, Austria
Author contributions: Pichler H wrote the manuscript with the support of Stumpner T and Ortmaier R; Pichler H, Bischofreiter M, and Ortmaier R analyzed and interpreted the patient’s data and documents; Schiller D analyzed the case and gave a crucial clue to finding the diagnosis; Ortmaier R supervised the case; All authors contributed to, read, and approved the final manuscript.
Informed consent statement: The patient provided informed written consent prior to this case report.
Conflict-of-interest statement: Dr. Pichler has nothing to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hannes Pichler, Doctor, Department of Orthopedic Surgery, Ordensklinikum Linz Barmherzige Schwestern, Vinzenzgruppe Center of Orthopedic Excellence, Teaching Hospital, Paracelsus Medical University Salzburg, Seilerstätte 4, Linz 4010, Austria. drhannespichler@gmail.com
Received: April 5, 2023
Peer-review started: April 5, 2023
First decision: April 20, 2023
Revised: May 7, 2023
Accepted: May 30, 2023
Article in press: May 30, 2023
Published online: June 26, 2023
Processing time: 82 Days and 5.9 Hours
Core Tip

Core Tip: Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome is a rare disease. The combination of joint inflammation and abscess-like skin lesions suggests an infectious cause. However, these symptoms are triggered by pancreatic disease. As abdominal symptoms may be delayed or absent, PPP syndrome may be challenging to diagnose and treat. We present our experience in treating a 66-year-old patient with PPP syndrome. In conclusion, PPP syndrome should be considered in cases of hard-to-treat or atypical joint and tissue infections.