A 56-year-old woman with poorly controlled type 2 diabetes mellitus presents with a 3-week history of weight loss and perioral stomatitis. Vital signs: BP 138/82, HR 92, RR 18, Temp 37.2°C, SpO2 98%. She has a migratory erythematous rash with blistering and crusting over the groin and extremities. Laboratory studies reveal fasting glucose 285 mg/dL, elevated glucagon level of 850 pg/mL, and normal albumin. She denies diarrhea. Which diagnosis best explains these findings?
- A)Prolactinoma
- B)VIPoma
- C)GlucagonomaGABARITO
- D)Somatostatinoma
- E)Insulinoma
Explicação
Glucagonoma is a pancreatic alpha cell tumor that causes hyperglycemia, weight loss, anemia, stomatitis, and necrolytic migratory erythema. Ver explicação completa e trilha adaptativa →