CDC Warns of Emerging Disease Deemed ‘Panniculolithiasis’

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ATLANTA, GA – The CDC has issued an advisory regarding a new disease being reported sporadically across the country.  There have now been over 250 confirmed cases of what the agency has named “panniculolithiasis.”

“Clinical correlation recommended; i.e. look in fat rolls”

The CDC’s press liaison, Michelle Tompkins, MD, MPH, JD, MBA, RN, BSN, Ph.D, was interviewed last week.  “Basically, panniculolithiasis is diagnosed when a radiographic study of a patient reveals a suspicious calcification, but a thorough retrospective physical exam finds the calcification buried between the patient’s fat rolls.”

“One of our first reported cases of panniculolithiasis occurred in South Carolina, when an emergency physician ordered an abdominal series on a 475-lb. woman with abdominal pain.  The radiologist saw an 8-mm calcification in the right mid-abdomen.  Of course, he recommended clinical correlation, but could not rule out renal stone or a fecalith in the appendix.

The clinician then ordered a CT of the abdomen, which showed that the calcification was actually outside the patient.  On repeat physical exam, the doctor discovered a large piece of grape flavored Nerds candy lodged between the patient’s 3rd and 4th abdominal adipose layer.”

Similar cases have been diagnosed with the aid of mammograms, extremity x-rays, and flexion/extension neck films.  An Alabama man was sent to a local urologist after a suspicious prostate calcification was seen on x-ray of his pelvis, only to have the specialist find a broken piece of Werther’s Original buried in the superior aspect of his FUPA (fatty upper private area).

There is no data yet on the long term morbidity and mortality of panniculolithiasis, but the new disease is a strong predictor of type II diabetes, high cholesterol, hypertension, sleep apnea, and osteoarthritis.

  • Jake Ho

    After 10 years spent fighting the unwinnable war that is Emergency Medicine in America, an "ER doctor" left medicine altogether and joined a Buddhist temple in Tibet, changing his name to "Jake Ho." He found the peaceful solitude he achieved to be the antithesis of years spent dealing with unreasonable requests and reprimands from patients, families, hospital administrators, and consultants. The vows of celibacy and silence he took are largely mitigated by the blogging and internet porn made possible thanks to the temple's excellent Wi-Fi connection.

  • Show Comments

  • Avatar
    Jackie Gergel Moranville

    OMG!! That is HILARIOUS, Judy!!

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    Marla Czechowski

    Julie Banse DeSnoo. Vickie Springer Vanden Heuvel

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    Kristina Fahringer Day

    P.s., FUPA stands for something much more crass in my line of work. ;)

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    Kristina Fahringer Day

    Or half a sandwich that is hidden under a giant boob….or oreos stuffed in the fat rolls… or…yeah, seen it more times than I care to mention unfortunately. o_O

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    Robin Fahringer Mitchell Machajewski

    [email protected] “FUPA”! Kristina Fahringer Day, wanna add your 2 cents? I know you’ve seen this illness….

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    Grace del Real

    I personally know someone who found a ham sandwich under a pannus

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    Tami Christensen


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    Guys, its panniculolithiasis obviously, not situs inversus

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    Jacqueline Dever

    We’ve had to send these patients to the nearest zoo or water park, at various hospitals I’ve been in, in order to get imaging in the scanner big enough for whales or elephants.
    Can you imagine how humiliating that must have been for the patients?

  • Avatar
    Jacqueline Dever

    Body habitus prevents clear view of (fill in the blank).

  • Avatar
    Heather Hendricks Bliss

    Brooke Chantay, Cynthia King

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    Keith Pochick

    I bet the radiology department was on pins and needles as the rad techs attempted to squeeze the 475 lb lady through the CT scanner.

    I have also learned through a credible source that “Jake Ho” is the actual author of this article. This, if not rectified soon, is sure to start a scandal which may very well tear our nation apart.

  • Avatar
    Judy Wolfe

    A classmate of mine diagnosed “lost bologna sandwich” in a morbidly obese patient once. Patient came in for pain/itching under his pannus.

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    Richard Kincaid

    Sam Crutcher

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    Susan Cox-Schlax

    FUPA! Love it!

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    Astrid Flores

    Dying… Will be using FUPA from now on.

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    Matt Lyons

    They should have added to the list of associated conditions, fibromyalgia.

  • Avatar
    Sarah Brown

    Kryste Brittany Cana

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    Jonathan Schneider

    This is clearly a Photoshopped image. The graphics person had no clue. Most places use PACS system now.

  • Avatar
    Jessica Horoho

    Unless both of those patients have situs inversus, those X-rays are hung backwards.

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