Rappersberger K, Wolff-Schreiner E, Konrad K, Wolff K
I. Universitäts-Hautklinik Wien.
Hautarzt. 1987 Oct;38(10):589-98.
We report on our experience with two patients with glucagonoma syndrome and review the recent dermatologic literature. The clinical features are described with special emphasis on necrolytic migratory erythema, the characteristic cutaneous sign of glucagonoma syndrome. Using our histological and ultrastructural findings, we discuss the pathogenesis of necrolytic migratory erythema. Pathognomonic laboratory data and the diagnostic procedures recommended for the evaluation of patients with glucagonoma syndrome are presented. Finally, we discuss the differential diagnosis and describe therapeutic possibilities in the management of this syndrome.
我们报告了两例胰高血糖素瘤综合征患者的诊治经验,并回顾了近期的皮肤病学文献。文中描述了临床特征,特别强调了坏死性游走性红斑,这是胰高血糖素瘤综合征的特征性皮肤表现。结合我们的组织学和超微结构研究结果,探讨了坏死性游走性红斑的发病机制。文中还介绍了该综合征的特征性实验室检查数据以及推荐用于评估胰高血糖素瘤综合征患者的诊断方法。最后,我们讨论了鉴别诊断,并描述了该综合征治疗的可能性。