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Genetic and Rare Diseases Information Center (GARD)

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Nodular nonsuppurative panniculitis

Other Names for this Disease
  • Panniculitis nodular nonsuppurative
  • Weber Christian disease
  • Weber-Christian disease
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Your Question

Where and who do I turn to get the help that my daughter needs? What medications are used for this? How long before it will go into remission? How much can be expected of a person that has this and it is not in remission?

Our Answer

We have identified the following information that we hope you find helpful. If you still have questions, please contact us.

How might nodular nonsuppurative panniculitis be treated?

Treatment for nodular nonsuppurative panniculitis (NNP) generally aims at controlling and relieving the symptoms that an individual has. Before treatment is begun, it should first be determined whether an affected individual has the condition secondary to another underlying disorder because treatment of the underlying disorder may relieve the symptoms of NNP. In some cases, skin lesions heal spontaneously (remission) but the lesions often later return.[1] Medications used to treat the condition may include systemic steroids (such as prednisone) to suppress sudden attacks; nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce fever and other signs of malaise; and/or immunosuppressive drugs.[2][3] Relief of symptoms in some affected individuals has also been reported with fibrinolytic agents (medications that help prevent blood clots), hydroxychloroquine, azathioprine, thalidomide, cyclophosphamide, tetracycline, cyclosporin, mycophenolate, and clofazimine.[2][3]

More detailed information about the management of nodular nonsuppurative panniculitis is available on eMedicine's Web site and can be viewed by clicking here.
Last updated: 12/9/2011

What is the prognosis for individuals with nodular nonsuppurative panniculitis?

It is not possible to predict the prognosis for specific individuals (including when and if remission will occur), as the prognosis widely varies in individuals with the condition. Those with primarily cutaneous (skin) involvement may experience periods of exacerbations and remission of symptoms with minimal involvement of other organs for several years before the disorder resolves.[3] The disease tends to recur at intervals of weeks or months.[2] In individuals with severe involvement of the heart, lungs, intestines, spleen, kidney, or adrenal glands, morbidity and mortality are significant and these individuals may not survive.[2][3]
Last updated: 12/12/2011

Where might an individual with nodular nonsuppurative pannicultis go to receive treatment for the condition?

Individuals with nodular nonsuppurative panniculitis (NNP) may consult with a pediatric dermatologist and/or a pediatric rheumatologist in order to confirm the diagnosis, determine the cause of the condition and obtain treatment.[3]

The Society for Pediatric Dermatology, a national organization in the United States specifically dedicated to the field of Pediatric Dermatology, has a "Find a Pediatric Dermatologist" section on its Web site that can be accessed by clicking here.

The American College of Rheumatology, an organization primarily for physicians, health professionals, and scientists, has a "Geographic Member Directory" where individuals can find pediatric rheumatologists and other health professionals providing patient care; this can be accessed by clicking here.
Last updated: 12/12/2011

How can I find an expert who has knowledge and experience regarding a specific condition?

Although there is no list of experts for rare diseases, a fact sheet is available on our Web site with tips for finding healthcare professionals and researchers who have experience with a particular condition. Potential resources include patient advocacy groups, researchers conducting clinical trials, and authors of articles published in medical journals. If you are unable to locate an expert using these suggestions, please let us know. Click on the following link to view the fact sheet:
Last updated: 3/21/2012