Subject(s)
Facial Dermatoses , Hyperpigmentation , Lupus Vulgaris , Rosacea , Humans , Minocycline/adverse effects , Rosacea/chemically induced , Rosacea/diagnosis , Rosacea/drug therapy , Hyperpigmentation/chemically induced , Hyperpigmentation/diagnosis , Facial Dermatoses/chemically induced , Facial Dermatoses/diagnosis , Facial Dermatoses/drug therapySubject(s)
Dermatitis, Exfoliative , Mycosis Fungoides , Skin Neoplasms , Humans , Brentuximab Vedotin , Dermatitis, Exfoliative/drug therapy , Dermatitis, Exfoliative/etiology , Mycosis Fungoides/complications , Mycosis Fungoides/drug therapy , Skin Neoplasms/complications , Skin Neoplasms/drug therapySubject(s)
COVID-19 , Pemphigoid, Bullous , Humans , Autoantibodies , Autoantigens , Non-Fibrillar CollagensSubject(s)
Eosinophilia , Folliculitis , Pemphigus , Skin Diseases, Vesiculobullous , Humans , Pemphigus/diagnosis , Pemphigus/drug therapy , Pemphigus/pathology , Leg/pathology , Skin Diseases, Vesiculobullous/diagnosis , Skin Diseases, Vesiculobullous/drug therapy , Eosinophilia/diagnosis , Eosinophilia/drug therapy , Folliculitis/diagnosis , Folliculitis/drug therapyABSTRACT
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.
