Panniculitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Panniculitis, Diagnosis and Treatment and Related Diseases

Lipoma is just a slow growing benign tumor of fatty tissue.
Panniculitis is the inflammation of lumps (lipomas) in the fat layer under the skin causing pain.
Dercum’s disease (adiposis dolorosa) has painful lipomas with obesity and weakness.

Panniculitis is a group of disorders that produce painful lumps, or nodules, to form under the skin, often on the legs and feet.

These lumps produce inflammation in the fat layer under the skin.

This layer is termed the panniculus or subcutaneous fat layer.

It is the type of fat that supplies insulation and helps control the body temperature.

The patient tends more likely to obtaining panniculitis if the patient has:
1. Infection,
2. Inflammatory disease, or
3. Connective tissue disorder.

Types of Panniculitis

Doctors categorize panniculitis based on which area of the fat layer under the skin is inflamed.

1. Septal panniculitis involves the connective tissue around the fat.
2. Lobular panniculitis involves fat lobules.
This disorder can also affect different types of immune cells in the skin such as:
a. Histiocytes
b. Lymphocytes
c. Neutrophils
3. Most forms of panniculitis are mixed with both septal and lobular inflammation.
4. Some forms have inflamed blood vessels in the skin, termed panniculitis with vasculitis.

More specific forms of panniculitis are:

1. Erythema nodosum:
This is the most frequent and well known form of panniculitis.
It produces red, painful lumps to form on the front of the lower legs.
It also produces more general symptoms like fever, headache, and eye disorders.

2. Cold panniculitis:
This form involves areas of skin that have been exposed to extreme cold, such as when spending time outdoors (skiers wearing inadequate clothing).
The involved skin is poorly-defined, red-blue in color and cold to touch.

3. Lipodermatosclerosis:
This form is related to vein disorders and obesity.
It often involves overweight women over 40.
The acute form manifests as episodes of painful inflammation in the lower legs, above the ankles, resembling cellulites

4. Erythema induratum:
This form involves the calves of middle-aged women.

5. Subcutaneous sarcoidosis:
This form is produced by the disease sarcoidosis.

6. Weber-Christian disease:
This form is used to depict a form of the disease that often affects women in midlife.
It produces lumps on the thighs and lower legs.
It can also affect other organs.

Weber-Christian disease is also termed Idiopathic nodular panniculitis

Other different types of panniculitis may be:
1. Lupus panniculitis
2. Pancreatitis-linked panniculitis
3. Alpha-1 antitrypsin deficiency linked panniculitis
4. Infective panniculitis

Many different disorders produce panniculitis such as:
1. Infections from bacteria, viruses, fungi, or parasites
2. Inflammatory diseases, such as Crohn’s disease or ulcerative colitis
3. Diabetes
4. Injuries from intense exercise, exposure to cold temperatures
5. Connective tissue disorders such as lupus, rheumatoid arthritis, scleroderma
6. Medicines such as sulfonamide antibiotics, iodide, bromide, and large doses of corticosteroids
7. Sarcoidosis, which causes clumps of inflammatory cells to form in the body
8. Cancers like leukemia and lymphoma
9. Pancreatic diseases
10. Alpha-1 antitrypsin deficiency, a genetic disorder

The main symptom is painful or tender lumps

Inflammation in the body can injure organs such as the liver, pancreas, lungs, and bone marrow.

The aim in treating panniculitis is to stop inflammation and relieve the symptoms (pain, stress)

Medicinal treatments are steroids and immunosuppressants

TABLE OF CONTENT
Introduction
Chapter 1 Pan

• Language: English
• Publisher: Kenneth Kee
• Release date: Sep 27, 2020
• ISBN: 9781005947934

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Panniculitis,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2020 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Panniculitis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Panniculitis)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

My diagnosis and treatment capability has improved tremendously from my continued education.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Panniculitis

Lipoma is just a slow growing benign tumor of fatty tissue.

Panniculitis is the inflammation of lumps (lipomas) in the fat layer under the skin causing pain.

Dercum’s disease (adiposis dolorosa) has painful lipomas with obesity and weakness.

What is Panniculitis?

Panniculitis is