Necrolytic migratory erythema without glucagonoma in patients with liver disease.

Abstract:

BACKGROUND:Necrolytic migratory erythema (NME) is an uncommon inflammatory dermatosis with a distinct clinical and histologic appearance. NME is usually associated with glucagonoma. Only a few cases of NME in the absence of glucagonoma have been previously reported. OBJECTIVE:We sought to understand further the pathogenesis of NME by analyzing data from three patients. METHODS:Three patients were examined both clinically and histopathologically. RESULTS:Each patient had an extensive erythematous scaling eruption in intertriginous, perioral, and acral areas, and a markedly red, smooth tongue. Skin biopsy specimens showed confluent parakeratosis, epidermal pallor, papillary edema, and a lymphohistiocytic infiltrate. Two patients had alcoholic liver disease and one had liver dysfunction as a result of hemochromatosis. Serum albumin level was depressed, and liver enzyme values were increased in all three patients. Glucagonoma was undetectable in these patients. CONCLUSION:In the absence of glucagonoma, hepatocellular dysfunction and hypoalbuminemia appear to be the most common factors associated with NME.

journal_name

J Am Acad Dermatol

authors

Marinkovich MP,Botella R,Datloff J,Sangueza OP

doi

10.1016/0190-9622(95)90345-3

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

604-9

issue

4

eissn

0190-9622

issn

1097-6787

pii

0190-9622(95)90345-3

journal_volume

32

pub_type

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