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Ultrastructural Studies of Necrolytic Migratory Erythema

Katsuro Ohyama, MD; Masato Kitoh, MD; Tatsuyoshi Arao, MD
[+] Author Affiliations

Accepted for publication Dec 12, 1981.

Reprint requests to Department of Dermatology, Kumamoto University Medical School, Honjo, Kumamoto, 860, Japan (Dr Ohyama).


From the Department of Dermatology, Kumamoto University Medical School, Kumamoto, Japan.


Arch Dermatol. 1982;118(9):679-682. doi:10.1001/archderm.1982.01650210059020
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• Necrolytic migratory erythema is a disorder highly suggestive of glucagonoma syndrome. We carried out histologic and electron microscopic studies of the skin lesions in a 57-year-old woman with the glucagonoma syndrome. Light microscopic studies revealed hyperkeratosis, parakeratosis, formation of clefts in the upper epidermis, and scattered dyskeratotic cells. Ultrastructurally, the intercellular spaces were widened in the upper epidermis and desmosomes were reduced in number. The cytoplasm of affected cells showed vacuolar degeneration; the organelles were lysed or absent. There were scattered dark cells and dyskeratotic cells. These changes appear to represent a degenerative process of the keratinocytes.

(Arch Dermatol 1982;118:679-682)

REFERENCES

Becker SW, Kahn D, Rothman S:  Cutaneous manifestations of internal malignant tumors . Arch Dermatol Syphilol 1942;;45:1069-1080.
Wilkinson DS:  Necrolytic migratory erythema with carcinoma of the pancreas . Trans St Johns Hosp Dermatol Soc 1973;;59:244-250.
Goodenberger DM, Lawley TJ, Strober W, et al:  Necrolytic migratory erythema without glucagonoma . Arch Dermatol 1979;;115:1429-1432.
Doll DC:  Necrolytic migratory erythema . Arch Dermatol 1980;;116:861-862.
Kahan RS, Perez-Figaredo RA, Neimanis A:  Necrolytic migratory erythema . Arch Dermatol 1977;;113:792-797.
Lillibridge CB, Melish ME, Glasgow LA:  Site of action of exfoliative toxin in the staphylococcal scalded-skin syndrome . Pediatrics 1972;;50:728-738.
Dobbeleer G, Achten G:  Staphylococcal scalded-skin syndrome: An ultrastructural study . J Cutan Pathol 1975;;2:91-96.
Mallinson CV, Bloom SR, Warin AP, et al:  A glucagonoma syndrome . Lancet 1974;;2:1-5.

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Becker SW, Kahn D, Rothman S:  Cutaneous manifestations of internal malignant tumors . Arch Dermatol Syphilol 1942;;45:1069-1080.
Wilkinson DS:  Necrolytic migratory erythema with carcinoma of the pancreas . Trans St Johns Hosp Dermatol Soc 1973;;59:244-250.
Goodenberger DM, Lawley TJ, Strober W, et al:  Necrolytic migratory erythema without glucagonoma . Arch Dermatol 1979;;115:1429-1432.
Doll DC:  Necrolytic migratory erythema . Arch Dermatol 1980;;116:861-862.
Kahan RS, Perez-Figaredo RA, Neimanis A:  Necrolytic migratory erythema . Arch Dermatol 1977;;113:792-797.
Lillibridge CB, Melish ME, Glasgow LA:  Site of action of exfoliative toxin in the staphylococcal scalded-skin syndrome . Pediatrics 1972;;50:728-738.
Dobbeleer G, Achten G:  Staphylococcal scalded-skin syndrome: An ultrastructural study . J Cutan Pathol 1975;;2:91-96.
Mallinson CV, Bloom SR, Warin AP, et al:  A glucagonoma syndrome . Lancet 1974;;2:1-5.

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