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dc.contributor.authorKawsar, Hameem I.
dc.contributor.authorHabib, Alma
dc.contributor.authorSaeed, Azhar
dc.contributor.authorSaeed, Anwaar
dc.date.accessioned2020-09-17T17:01:07Z
dc.date.available2020-09-17T17:01:07Z
dc.date.issued2019-11-01
dc.identifier.citationHameem I. Kawsar, Alma Habib, Azhar Saeed & Anwaar Saeed (2019) Unremitting chronic skin lesions: a case of delayed diagnosis of glucagonoma, Journal of Community Hospital Internal Medicine Perspectives, 9:5, 425-429, DOI: 10.1080/20009666.2019.1671574en_US
dc.identifier.urihttp://hdl.handle.net/1808/30751
dc.descriptionA grant from the One-University Open Access Fund at the University of Kansas was used to defray the author's publication fees in this Open Access journal. The Open Access Fund, administered by librarians from the KU, KU Law, and KUMC libraries, is made possible by contributions from the offices of KU Provost, KU Vice Chancellor for Research & Graduate Studies, and KUMC Vice Chancellor for Research. For more information about the Open Access Fund, please see http://library.kumc.edu/authors-fund.xml.en_US
dc.description.abstractA 54-year-old Caucasian male with history of hypertension, hyperlipidemia, insulin-dependent diabetes mellitus, and chronic skin rash of 4 years presented to the emergency department with worsening rash and weight loss. Physical examination revealed diffuse erythematous rash, skin ulceration, bullae with associated paresthesia in the lower extremities, trunk, bilateral upper extremities, and palms and soles. A computed tomography (CT) scan with contrast showed a large, heterogenously enhancing pancreatic mass measuring 9.4 × 3.8 cm with surrounding low-attenuation soft tissue thickening. Blood tests showed hemoglobin A1C of 10.0%. Glucagon level was elevated to 2,178 (normal < 80 pg/dl). Endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) from the pancreatic mass was suggestive of pancreatic endocrine tumor. The tumor cells were positive for synaptophysin, chromogranin, CD56, and pan-cytokeratin with focal positivity for glucagon, suggestive of glucagonoma. The patient underwent distal pancreatectomy along with splenectomy and cholecystectomy. The glucagon level normalized to 25 pg/dl within a week of tumor resection, and during his 6-week outpatient follow up, skin rash had completely resolved.en_US
dc.publisherTaylor & Francis Open Accessen_US
dc.rights© 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.en_US
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en_US
dc.subjectGlucagonomaen_US
dc.subjectNecrolytic Migratory Erythema (NME)en_US
dc.subjectNeuroendocrine tumoren_US
dc.subjectMEN-1en_US
dc.subjectAlpha cell tumoren_US
dc.titleUnremitting chronic skin lesions: A case of delayed diagnosis of glucagonomaen_US
dc.typeArticleen_US
kusw.kuauthorKawsar, Hameem I.
kusw.kuauthorHabib, Alma
kusw.kuauthorSaeed, Azhar
kusw.kuauthorSaeed, Anwaar
kusw.kudepartmentOncologyen_US
dc.identifier.doi10.1080/20009666.2019.1671574en_US
kusw.oaversionScholarly/refereed, publisher versionen_US
kusw.oapolicyThis item meets KU Open Access policy criteria.en_US
dc.rights.accessrightsopenAccessen_US


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© 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Except where otherwise noted, this item's license is described as: © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.