Asunto(s)
Melanocitos , Neoplasias de Anexos y Apéndices de Piel , Neoplasias Cutáneas , Humanos , Melanocitos/patología , Neoplasias de Anexos y Apéndices de Piel/patología , Neoplasias de Anexos y Apéndices de Piel/cirugía , Neoplasias Cutáneas/patología , Neoplasias Cutáneas/cirugía , Femenino , Biopsia , Inmunohistoquímica , Masculino , Biomarcadores de Tumor/análisis , Pigmentación de la PielAsunto(s)
Dermatosis Facial , Hiperpigmentación , Lupus Vulgar , Rosácea , Humanos , Minociclina/efectos adversos , Rosácea/inducido químicamente , Rosácea/diagnóstico , Rosácea/tratamiento farmacológico , Hiperpigmentación/inducido químicamente , Hiperpigmentación/diagnóstico , Dermatosis Facial/inducido químicamente , Dermatosis Facial/diagnóstico , Dermatosis Facial/tratamiento farmacológicoAsunto(s)
COVID-19 , Penfigoide Ampolloso , Humanos , Autoanticuerpos , Autoantígenos , Colágenos no FibrilaresAsunto(s)
Dermatitis Exfoliativa , Micosis Fungoide , Neoplasias Cutáneas , Humanos , Brentuximab Vedotina , Dermatitis Exfoliativa/tratamiento farmacológico , Dermatitis Exfoliativa/etiología , Micosis Fungoide/complicaciones , Micosis Fungoide/tratamiento farmacológico , Neoplasias Cutáneas/complicaciones , Neoplasias Cutáneas/tratamiento farmacológicoAsunto(s)
Eosinofilia , Foliculitis , Pénfigo , Enfermedades Cutáneas Vesiculoampollosas , Humanos , Pénfigo/diagnóstico , Pénfigo/tratamiento farmacológico , Pénfigo/patología , Pierna/patología , Enfermedades Cutáneas Vesiculoampollosas/diagnóstico , Enfermedades Cutáneas Vesiculoampollosas/tratamiento farmacológico , Eosinofilia/diagnóstico , Eosinofilia/tratamiento farmacológico , Foliculitis/diagnóstico , Foliculitis/tratamiento farmacológicoRESUMEN
Chronic pancreatitis is a pancreatic inflammation that can result in endocrine pancreatic insufficiency. We present a case of starvation ketoacidosis in a 44-year-old Japanese man with chronic alcoholic pancreatitis. On admission, he exhibited hypoglycemia and severe acidosis. Intravenous glucose and vitamin B1 were administered in the emergency department, and nutritional management for presumed starvation ketoacidosis was begun. Because the patient did not have diabetes mellitus, his insulin secretion and insulin resistance were examined. A diagnosis of pancreatic diabetes caused by chronic pancreatitis was made based on decreased insulin secretion, normal insulin resistance, and negative anti-glutamic acid decarboxylase antibody. Intensive insulin therapy was initiated, and he was discharged 15 days after hospitalization. Although starvation rarely causes hypoglycemia and severe ketoacidosis, they can be induced by short-term fasting in patients with decreased pancreatic function.