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Peer-reviewed veterinary case report

Metabolic epidermal necrosis in a dog associated with pancreatic adenocarcinoma, hyperglucagonaemia, hyperinsulinaemia and hypoaminoacidaemia.

Journal:
The Journal of small animal practice
Year:
2007
Authors:
Cave, T A et al.
Affiliation:
Cave Referrals · United Kingdom
Species:
dog

Abstract

A case of metabolic epidermal necrosis associated with a pancreatic carcinoma is described. Normoglycaemia, reduced serum fructosamine, and hypoaminoacidaemia were identified. Hyperinsulinaemia and hyperglucagonaemia were documented. Immunohistochemistry documented strong tumour expression of both insulin and glucagon supporting combined paraneoplastic production of both hormones by the tumour. Enteral protein and fatty acid supplementation and parenteral amino acid supplementation proved ineffective. Metastasis to regional lymph nodes was identified and the patient was euthanased.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/17543017/