Severe deterioration of psoriasis due to an insulinoma.

Abstract:

:We report a case of a 56-year-old woman who presented with a severe exacerbation of psoriasis with concurrent hypoglycaemic episodes. Methotrexate 17.5 mg weekly was required to control her psoriasis. Investigation of her hypoglycaemia showed raised levels of insulin, C-peptide and proinsulin. Radiological investigation showed a tumour at the tail of the pancreas and the diagnosis was insulinoma. A spleen-preserving distal pancreatectomy was performed and the hypoglycaemic symptoms resolved. Immediately following the pancreatectomy, methotrexate was stopped and the patient's psoriasis went into remission. During a 2-year follow-up, she has required only minimal topical treatment for her skin.

journal_name

Clin Exp Dermatol

authors

Field S,Kelly G,Tobin AM,Barragry JM,Conlon KC,Kirby B

doi

10.1111/j.1365-2230.2007.02578.x

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

145-7

issue

2

eissn

0307-6938

issn

1365-2230

pii

CED2578

journal_volume

33

pub_type

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