Korean J Med.  2000 Sep;59(3):314-318.

Glucagonoma with multiple hepatic metastasis and necroltic migratory erythema

Affiliations
  • 1Department of Internal Medicine, Chonnam University Medical School, Kwangju, Korea.

Abstract

Glucagoma is rare disease and has been reported only 100 cases so far worldwidely. The experience of this disease in our country is also lacking. The associated symptoms and signs can be characterized by necrolytic migratory erythematous lesion of the skin, hypoaminoacidemia, diabetes, weight loss, anemia, diarrhea, thrombocytopenia, glossitis. Among these, necrolytic migratory erythematous lesion of the skin is particulary considered as specific in this disease entity. In some cases, glucagonoma is diagnosed after metastasis to liver or bone marrow. Our patient initially diagnosed as having multiple metastatic adenocarcinoma of the liver. But subsequent development of the dermatologic manifestation enabled us to consider this rare disease. The constitutional symptoms and skin lesion abates rapidly at receiving Octreotide, somatostatin analogue, whereas no remarkable change observed after administration of the Zinc and aminoacid.

Keyword

Glucagonoma; Erythema; Octreotide

MeSH Terms

Adenocarcinoma
Anemia
Bone Marrow
Diarrhea
Erythema*
Glossitis
Glucagonoma*
Humans
Liver
Neoplasm Metastasis*
Octreotide
Rare Diseases
Skin
Somatostatin
Thrombocytopenia
Weight Loss
Zinc
Octreotide
Somatostatin
Zinc
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