Arthritis with chronic pancreatitis—do not forget pancreatitis, panniculitis and polyarthritis (PPP) syndrome

Pancreatitis panniculitis and polyarthritis syndrome (PPP) syndrome is a rare complication of existing pancreatic disorders which include a triad of pancreatitis, oligo or monoarthritis and lobular panniculitis. We describe a case of a 3-year-old female child who presented with chronic pancreatitis and later developed knee pain during hospitalization. Other causes of arthritis were ruled out and pancreatitis-related arthritis, PPP syndrome was suspected. PPP syndrome treatment primarily involves managing the underlying pancreatic cause. In our case, managing the chronic pancreatitis with NSAIDs significantly improved the joint involvement.