Acute pancreatitis with panniculitis: a rare and striking clinical presentation.

Pancreatic panniculitis is a rare dermatological manifestation of pancreatic disorders, characterized by painful, erythematous nodules. We present the case of an 84-year-old woman with acute pancreatitis who developed erythematous-violaceous nodular lesions on her lower limbs. Histopathological examination revealed lobular panniculitis with fat necrosis and ghost adipocytes, confirming the diagnosis. Supportive treatment resulted in complete resolution of the lesions within one week. This case underscores the importance of clinical awareness in identifying pancreatic panniculitis as a potential early indicator of underlying pancreatic disease.