The artist died this week at the age of 81. The health conditions have attracted attention and require detailed investigations, the doctors say
The presence of normally painful nodules on the skin is among the most common clinical signs of the so-called panniculitis🇧🇷 This Tuesday 23, this term has attracted attention, as the complications of this disease have been identified as the cause of death of the singer and composer Erasmus Charles81 years old.
According to the professor of Dermatology at the Medical Faculty of the Federal University of Minas Gerais (UFMG extension), Lucas Campos Garcia, a number of agents can cause this condition. “Defining which disease is actually causing panniculitis usually requires a detailed investigation, including patient history, physical exam, and laboratory tests,” he explains.
For this he stresses that any doubts related to the diagnosis should be resolved by a dermatologist or rheumatologist. Self-medication is contraindicated.
Panniculitis actually defines a group of diseases with different causes. What happens is inflammation of the subcutaneous fatty tissue, as the fat that sits just below the epidermis and dermis is called. “In general, panniculitis is manifested by erythema, which is redness of the skin, hardening of the affected area, pain and local heat,” explains Garcia.
“The causes of this inflammation can be infectious agents; external sources such as fillers or silicone; metabolic disorders, such as alpha 1 antitrypsin deficiency; neoplasms, such as lymphoma and, more frequently, autoimmune diseases, such as rheumatological diseases, such as lupus erythematosus”, cit.
For this, a detailed analysis of the clinical case is indispensable. After all, according to the professor, the treatment will actually depend on the underlying disease that is causing the panniculitis.”
Other signs of this condition are explained by Marina Porangaba, rheumatologist at Santa Casa in Rio de Janeiro. She points out that panniculitis is divided into several types, with the best-known clinical manifestation being erythema nodosum—which are reddish or purplish nodules on the skin. She adds that, “depending on the type of panniculitis, it can cause atrophy (retraction) or sclerosis (hardening) of the skin.” “There may also be fever, fatigue and other associated symptoms.”
More severe panniculitis
Thinking about the diversity of causes that can underlie panniculitis, including rheumatological diseases, vasculitis. what are the inflammations of the vessels, and also the inflammatory bowel diseases, it is important to be aware of the risks of infection and the most worrying conditions of the disease.
According to Porangaba, “panniculitis can have serious outcomes such as death, depending on the intensity of the disease that caused the disease and the degree of tissue inflammation, which can cause circulatory shock.”
Furthermore, “considering the possibility of infectious origin and associated with the clinical condition of the patient, possibly debilitated and with low immune defenses, the infection that originates panniculitis can spread and cause more serious conditions, unfortunately, in occasional situations, bringing the patient up to to death,” explains dermatologist Fabiano Pacheco, representative of the Brazilian Society of Dermatology (SBD).
Again, Pacheco emphasizes the importance of careful diagnosis. According to him, “treatment is directed at the origin of the panniculitis, always with a slow healing response,” he concludes.