April 202161 year old male with history of alcohol abuse admitted for severe abdominal painContributor: Hector Mesa, MD, PhD Associate Professor of Clinical Pathology & Laboratory MedicineDepartment of Pathology and Laboratory Medicine Indiana University School of Medicine
Clinical history: A 61 year old male with history of alcohol abuse was admitted for severe abdominal pain. Prior to admission he had been drinking heavily. An abdominal CT showed peripancreatic fluid collection. On admission lipase level was 870 U/L (normal range 73 – 393) and amylase 563 H IU/L (normal range: 25 – 115). Three days after the onset of the symptoms he developed pink patches and subcutaneous nodules on the distal thighs that were tender to palpation. Microscopic examination For PC users, right click to open image in a new window, then zoom to enlarge. Fig. 1.
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