Treatment for mesenteric panniculitis, panniculitis management

Health Description
Health Consultation Description: I live in the UK and have been diagnosed with Mesenteric Panniculitis. Neither my GP or Surgeon know much about it at all. I am awaiting a CT in January. I was diagnosed via MRI. I look like I am giving birth to quads ( I was a UK size 14) I am 47 and I feel general unwell/ not with it. Have been signed off sick for the last two weeks from work. ( I am a community School staff nurse) . My GP has stated me on Prednisolone 40mgs. How can I help myself? Can I follow a special diet? I feel really uncomfortable. Any advice would be gra telly appreciated. Many thanks.


Expert Reply

Condition analysis:
Hi, ,thanks for query.You are having a rare disease. For mesenteric panniculitis ,corticosteroids are the initial treatment of choice. Additional anti-inflammatory drugs that have been used to treat mesenteric panniculitis include colchicine, azathioprine, cyclophosphamide, infliximab and pentoxifylline. A prospective clinical trial has demonstrated that the drug thalidomide improves symptoms. Low dose naltrexone (LDN) is also a promising new therapy for mesenteric panniculitis. Tamoxifen and other hormonal therapies have been proposed to treat patients with mesenteric fibrosis .

Instructions:
Classification (Types) of Panniculitis
Lupus: Lupus panniculitis is attributed from a variant of lupus erythematosus and is considered a rare type of panniculitis. The disease involves fatty tissues and most cases are acquired due to the underlying discoid form of lupus erythematosus. The classification is also known as lupus erythematosus profundus. The condition is most common in adult women and is characterized by the development of multiple nodules on the proximal extremities and trunk. This classification is known to cause scarring that leaves traces of lipoatrophy – a localized fat tissue loss. Lupus panniculitis also considered a complication of cutaneous lupus erythematosus.



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 Key words:  Mesenteric panniculitis

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