Symptoms of nodular fat necrosis

summary

Nodular fat necrosis is also called subcutaneous fat necrosis of pancreatitis. Chiai describes fat necrosis inflammation with pancreatic diseases. In addition to subcutaneous fat necrosis and facet synovitis, it can also cause fat necrosis of pancreas and its surrounding omentum and mesentery. The skin lesions were characterized by repeated and batch occurrence of painful subcutaneous nodules or erythema. Nodular fat necrosis? Let's talk about it

Symptoms of nodular fat necrosis

The skin lesions were widespread subcutaneous nodular erythema, which appeared in batches and raised the skin surface, showing light red or flush, soft and tender. Sometimes there may be wave motion, liquefying, spilling oil-like liquid, ulcering, subsiding, local atrophy does not form depression.

If synovitis of small and medium-sized joints occurs, there will be redness and swelling around the joints, especially in the distal finger (toe) joint, which is similar to gout and may have osteoporosis. Acute or chronic pancreatic diseases (including pancreatitis, pancreatic tumors or cysts), in addition to the systemic symptoms of pancreatitis,

Fever, chills, nausea, vomiting, abdominal distension, abdominal pain or jaundice, etc. laboratory examination showed that the serum lipase increased, or eosinophilic cells increased, ESR accelerated. Most of the skin lesions occurred in the lower leg, occasionally in the buttocks, trunk and upper limbs.

matters needing attention

Early application of physical therapy, promote absorption, local application of Huoxue Huayu powder. If there is liquefaction in the center of the mass, fluctuation or secondary infection, incision and drainage should be performed, and antibiotics can be used in some cases. If the injury is uncertain, the lesion should be excised for pathological examination. The patient had a clear history of trauma, such as impact, drop, extrusion, operation and puncture. But in a few cases, the injury was mild.