Introduction
Necrolytic migratory erythema (NME) is a rare cutaneous paraneoplastic
manifestation of glucagonoma. Estimated incidence of glucagonoma is
1/20,000,000/year(1). Elevated glucagon level can cause a variety of
clinical manifestations including weight loss, diabetes, and NME. This
skin rash has a cyclic nature and lesions exist simultaneously at
different stages(2). Misdiagnosis of paraneoplastic cutaneous
manifestation could delay the diagnosis of glucagonoma. We report an
interesting case of a female patient with a 6-year history of delayed
diagnosis of Glucagonoma.