Abstract

A rheumatology consult was taken for a 22-year-old man admitted with acute pancreatitis who developed nodular skin lesions over both shins and joint pains in the ankles, knees, and wrists. The patient had a history of mild dull aching, epigastric pain for 1 year; and presented with fever for 1 month with dyspnoea. In the hospital, blood tests showed raised amylase (1997 units per L) and lipase (889 units per L). MRI of the abdomen (figure 1A) showed diffuse enlargement of the pancreas with mild peripancreatic fat stranding and dilated main and peripheral ducts.

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