{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T13:01:16Z","timestamp":1780923676614,"version":"3.54.1"},"reference-count":9,"publisher":"PAGEPress Publications","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dermatol Reports"],"abstract":"<jats:p>Dear Editor,\nPancreatic panniculitis (PP) is a rare form of lobular panniculitis associated with pancreatic disorders, including acute and chronic pancreatitis and pancreatic neoplasms. It develops in a small percentage of patients with pancreatic disease and may represent the first manifestation of an occult malignancy. Clinically, PP usually presents with painful erythematous-to-violaceous nodules on the lower extremities, which may ulcerate and discharge oily brown material secondary to liquefactive fat necrosis induced by circulating pancreatic enzymes. Because of its rarity and heterogeneous presentation, diagnosis is frequently delayed or initially misdirected toward more common inflammatory or vascular conditions. [...]<\/jats:p>","DOI":"10.4081\/dr.2026.10291","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T12:08:09Z","timestamp":1780920489000},"source":"Crossref","is-referenced-by-count":0,"title":["Atypical chronic leg ulcers revealing pancreatic panniculitis associated with pancreatic adenocarcinoma"],"prefix":"10.4081","author":[{"given":"Sara","family":"Rovaris","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Catapano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Vanturini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Monari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2549","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"40678","doi-asserted-by":"crossref","unstructured":"1. Garcia-Romero D, Vanaclocha F. Pancreatic panniculitis. Dermatol Clin 2008;26:465-70.","DOI":"10.1016\/j.det.2008.05.009"},{"key":"40679","doi-asserted-by":"crossref","unstructured":"2. Narvaez J, Bianchi MM, Santo P, et al. Pancreatitis, panniculitis, and polyarthritis syndrome. Semin Arthritis Rheum 2010;39:417-23.","DOI":"10.1016\/j.semarthrit.2008.10.001"},{"key":"40680","unstructured":"3. Frutos-Rosa S, Calleja-Algarra A, L\u00f3pez-Bran E, et al. Pancreatic panniculitis: a rare dermatologic manifestation of pancreatic disease. Ann Gastroenterol 2015;28:282-6."},{"key":"40681","doi-asserted-by":"crossref","unstructured":"4. Segu\u00ed M, Rodr\u00edguez-Jim\u00e9nez P, Fraga J, et al. Pancreatic panniculitis revisited: A series of 34 patients. J Cutan Pathol 2023;50:983-90.","DOI":"10.1111\/cup.14515"},{"key":"40682","doi-asserted-by":"crossref","unstructured":"5. Sala E, Chersi F, Sola S, et al. Ulcerated Nodules on the Legs: Challenge. Am J Dermatopathol 2025;47-e138.","DOI":"10.1097\/DAD.0000000000003126"},{"key":"40683","doi-asserted-by":"crossref","unstructured":"6. Yang S, Li L, Zhang J, et al. Pancreatic panniculitis heralding pancreatic malignancy. Dermatol Online J 2015;21:13030\/qt5xk3m3k7.","DOI":"10.5070\/D3211025430"},{"key":"40684","doi-asserted-by":"crossref","unstructured":"7. Nickles MA, Tsoukas MM, Sweiss N, et al. Atypical ulcers: a stepwise approach for clinicians. Wounds 2022;34:236-44.","DOI":"10.25270\/wnds\/21060"},{"key":"40685","doi-asserted-by":"crossref","unstructured":"8. Monari P, Gualdi G, Rovaris S, et al. Etiology of chronic leg ulcers in a dermatologic wound clinic: a retrospective observational study. Wound Manag Prev 2022;68:12-5.","DOI":"10.25270\/wmp.2022.8.1215"},{"key":"40686","doi-asserted-by":"crossref","unstructured":"9. Ramos-Casals M, Anaya JM, Garc\u00eda-Carrasco M, et al. Cutaneous vasculitis in primary Sj\u00f6gren syndrome: classification and clinical significance of 52 patients. Medicine (Baltimore) 2004;83:96-106.","DOI":"10.1097\/01.md.0000119465.24818.98"}],"container-title":["Dermatology Reports"],"original-title":[],"link":[{"URL":"https:\/\/journals.pagepress.net\/dr\/article\/download\/10291\/9947","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.pagepress.net\/dr\/article\/download\/10291\/9947","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T12:08:21Z","timestamp":1780920501000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.pagepress.net\/dr\/article\/view\/10291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,8]]},"references-count":9,"URL":"https:\/\/doi.org\/10.4081\/dr.2026.10291","relation":{},"ISSN":["2036-7406","2036-7392"],"issn-type":[{"value":"2036-7406","type":"electronic"},{"value":"2036-7392","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6,8]]}}}