A 52-year-old woman with a 3-year history of diet-controlled diabetes presents to her primary care..

A 52-year-old woman with a 3-year history of diet-controlled
diabetes presents to her primary care provider complaining of a “stubborn
poison ivy rash” over her legs, which she attributed to a possible exposure to
the plant during a recent hike. She presented twice to the urgent care center
and received high-potency topical steroid cream for this refractory
erythematous rash with central blistering. A review of systems reveals intermittent
diarrhea and constipation as well as weight loss. Her serum glucagon level is
measured and found to be 20 times normal.

Questions

A. What is the rash
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A 52-year-old woman with a 3-year history of diet-controlled
diabetes presents to her primary care provider complaining of a “stubborn
poison ivy rash” over her legs, which she attributed to a possible exposure to
the plant during a recent hike. She presented twice to the urgent care center
and received high-potency topical steroid cream for this refractory
erythematous rash with central blistering. A review of systems reveals intermittent
diarrhea and constipation as well as weight loss. Her serum glucagon level is
measured and found to be 20 times normal.

Questions

A. What is the rash found in this disease? What is thought
to be the cause?

B. Why is the diabetes found in this condition usually mild?

C. What is the typical prognosis?

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