RT Journal
A1 Stauffer JA, Bray JM, Nakhleh RE, Bowers SP
T1 IMage of the month—quiz case
JF Archives of Surgery
JO Archives of Surgery
YR 2011
FD September 1
VO 146
IS 9
SP 1099
OP 1099
DO 10.1001/archsurg.2011.224-a
UL http://dx.doi.org/10.1001/archsurg.2011.224-a
AB 
A 79-year-old man was referred by his dermatologist for diffuse subcutaneous nodules that had been present for more than 1 year. These nodules were painful, ruborous, and erythematous and had overlying epithelial exfoliation (Figure 1). The patient noticed the nodules initially on only his lower extremities but at presentation noted them on his torso and upper extremities. Biopsy specimens of these lesions revealed superficial perivascular lymphocytic inflammation and interstitial dermatitis consistent with pancreatic panniculitis. His medical history was significant for hypertension, coronary artery disease, prostate cancer, melanoma, and arthritic joint pains. Family history included a brother with cancer of the pancreas. The physical examination was otherwise unrevealing.