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Case report
Mesenteric panniculitis in a patient with new onset dermatomyositis
  1. Pankaj Bansal1,
  2. Emily L Gilbert2,
  3. Rodrigo Otavio Lami Pereira3 and
  4. Andrew R Virata4
  1. 1Rheumatology, Mayo Clinic Health System, Eau Claire, Wisconsin, USA
  2. 2Internal Medicine, Mayo Clinic Hospital Jacksonville, Jacksonville, Florida, USA
  3. 3Anesthesiology and Perioperative Medicine - FLA, Mayo Clinic, Jacksonville, Florida, USA
  4. 4Pathology, Mayo Clinic Health System, Eau Claire, Wisconsin, USA
  1. Correspondence to Dr Pankaj Bansal; bansal.pankaj{at}mayo.edu

Abstract

Mesenteric panniculitis (MP), part of the spectrum of sclerosing mesenteritis, is an often asymptomatic disorder that is characterised by chronic inflammation of abdominal mesentery. We present a case of an 83-year-old woman who presented with proximal muscle weakness and erythematous, photosensitive rash of the face and upper torso and was subsequently diagnosed with dermatomyositis based on skin biopsy, electromyography and muscle biopsy. She had radiographic evidence of panniculitis on CT scan of the abdomen and pelvis for malignancy surveillance, which improved on serial CT scan 3 months after beginning treatment for her underlying dermatomyositis with prednisone and mycophenolate mofetil. Our case highlights that MP can be associated with underlying autoimmune disease. Connective tissue disease could be considered in the differential of MP when other etiologies such as surgery, trauma and malignancy are ruled out.

  • muscle disease
  • rheumatology
  • connective tissue disease
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Footnotes

  • Twitter @LamiPereira

  • Contributors PB: Direct patient care of the case involved, collection of data, final review and approval of submission. ELG and ROLP: Collection of data, literature review and writing the article. ARV: Patient care, pathology review and collection of data.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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