Volume 33, Issue 2 pp. e43-e47
Case Report

Iatrogenic Necrolytic Migratory Erythema in an Infant with Congenital Hyperinsulinism

Carrie C. Coughlin M.D.

Corresponding Author

Carrie C. Coughlin M.D.

Division of Dermatology, Washington University School of Medicine, St. Louis, Missouri

Address correspondence to Carrie C. Coughlin, M.D., Division of Dermatology, Washington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8123, St. Louis, MO 63110, or e-mail: [email protected].Search for more papers by this author
Sani M. Roy M.D.

Sani M. Roy M.D.

Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

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Lisa M. Arkin M.D.

Lisa M. Arkin M.D.

Department of Dermatology, Rush University Medical Center, Chicago, Illinois

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N. Scott Adzick M.D.

N. Scott Adzick M.D.

Division of Pediatric General, Thoracic and Fetal Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

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Albert C. Yan M.D.

Albert C. Yan M.D.

Section of Pediatric Dermatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania

Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania

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Diva D. De León M.D., M.S.C.E.

Diva D. De León M.D., M.S.C.E.

Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania

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Adam I. Rubin M.D.

Adam I. Rubin M.D.

Division of Pediatric General, Thoracic and Fetal Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania

Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania

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First published: 09 December 2015
Citations: 9

Abstract

Necrolytic migratory erythema (NME) is a rare cutaneous finding characterized by painful, pruritic, scaly red patches and plaques, bullae, and superficial erosions. Typically NME is a paraneoplastic phenomenon associated with glucagonoma. We report the exceptional case of an infant who developed iatrogenic NME arising secondary to glucagon therapy for congenital hyperinsulinism.

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