title: Delayed diagnosis of glucagonoma syndrome.
abstract: The classical presentations of necrolytic migratory erythema associated with alpha cell pancreatic tumour have been well documented. In addition, the occurrence of extracutaneous hallmarks of this disease such as weight loss, diabetes, anaemia, stomatitis and diarrhoea have been described in various reports. Here we report three cases with glucagonoma syndrome. Early detection is important in view of the malignant course of the disease. However, diagnosis is sometimes complicated by the fact that some patients may fail to show the characteristic feature of glucagonoma syndrome.
authors.affiliation: Department of Dermatology, University Hospital Nijmegen St Radboud, The Netherlands. H.Alkemade@derma.azn.nl
authors.forename: J A
authors.initials: JA
authors.lastname: Alkemade
authors.forename: J H
authors.initials: JH
authors.lastname: van Tongeren
authors.forename: U J
authors.initials: UJ
authors.lastname: van Haelst
authors.forename: A
authors.initials: A
authors.lastname: Smals
authors.forename: P M
authors.initials: PM
authors.lastname: Steijlen
authors.forename: P C
authors.initials: PC
authors.lastname: van de Kerkhof
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004890:Erythema / Q000175:diagnosis*; D017809:Fatal Outcome; D005260:Female; D005935:Glucagonoma / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000175:diagnosis*; D013577:Syndrome; D013997:Time Factors